General Information & Services AgreementInformed Consent • August 1st, 2017
Contract Type FiledAugust 1st, 2017Welcome to my practice. This document contains information about my services and policies, and summary information about the Health Portability and Accountability Act (HIPPA). This federal law protects client rights regarding use and disclosure of Protected Health Information (PHI). HIPPA requires that I explain my privacy practices and limits, and that I obtain your signature acknowledging that I have provided you with this explanation and have your consent to use your PHI as specified.