Common Contracts

1 similar Patient Services Agreement contracts

Lou Eckart, Ph.D. and Associates Licensed Clinical Psychologists 22 Mill St. Suite 109
Patient Services Agreement • October 31st, 2017

Welcome to our practice. This document contains important information about our professional services and business policies. It also contains summary information about the Health Insurance Portability and Accountability Act (HIPAA), a federal law that provides new privacy protections and new patient rights with regard to the use and disclosure of your Protected Health Information (PHI) used for the purpose of treatment, payment, and health care operations.

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