Common Contracts
1 similar Patient Service Agreement contracts
EAP Psychological Services Patient Service AgreementPatient Service Agreement • April 15th, 2024
This document (the Agreement) contains important information about OSU Employee Assistance Program (EAP) psychological services and business policies. It also contains summary information about the Health Insurance Portability and Accountability Act (HIPAA), a federal law that provides privacy protections and patient rights regarding the use and disclosure of your Protected Health Information (PHI) used for the purpose of treatment and health care operations. HIPAA requires that you are provided with a Notice of Privacy Practices (the Notice) for use and disclosure of PHI for treatment, payment, and health care operations. The Notice, which is attached to this Agreement, explains HIPAA and its application to your personal health information in greater detail. The law requires that this provider obtains your signature acknowledging that you were provided this information. Although these documents are long and sometimes complex, it is very important that you read them carefully. We can d
