Common Contracts
1 similar Suzanne Miller contracts
Psychologist – Client AgreementSuzanne Miller • January 31st, 2016
This document also contains summary information about the Health Insurance Portability and Accountability Act (HIPAA), a federal law that provides privacy protections and patient rights with regard to the use and disclosure of your Protected Health Information (PHI). HIPAA requires that I provide you with a Notice of Policies and Practices to protect the privacy, use, and disclosure of PHI for treatment, payment, and health care operations. The law requires that I obtain your signature acknowledging that I have provided you with this information. Both the Notice and the Signature Page are attached to this document, and explain HIPAA and its application to your personal health information in greater detail. Although these documents are long and can be complex, it is very important that you read them carefully before our next session. For both the Psychologist-Client Agreement and the HIPAA forms – please bring any questions or concerns to our next meeting so that we can discuss them.
