Common Contracts

1 similar Patient Services Agreement contracts

PSYCHOLOGIST/MENTAL HEALTH PROFESSIONAL PATIENT SERVICES AGREEMENT
Patient Services Agreement • June 23rd, 2013

This document is a summary of information about Psychological Service Associates, Inc.’s (PSA) professional services and business policies (a complete copy of this Agreement is available upon request). It 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) used for the purpose of treatment, payment and health care operations.

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