Common Contracts

1 similar Outpatient Services Contract contracts

Outpatient Services Contract
Outpatient Services Contract • October 10th, 2017

Welcome to my practice. This document contains important information about my professional services, business policies, your rights as well as our mutual responsibilities and obligations. It also contains information about the Health Insurance Portability and Accountability Act (HIPPA), a federal law that provides privacy protection and patient rights about the use and disclosure of your Protected Health Information PHI). Although these documents are long and sometimes complex, they are very important that you understand them. Please read it carefully and discuss any questions you have with me. When you sign this, it will represent an agreement between us.

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