Common Contracts

1 similar Psychiatrist-Patient Services Agreement contracts

PSYCHIATRIST-PATIENT SERVICES AGREEMENT
Psychiatrist-Patient Services Agreement • September 21st, 2020

Welcome to the Family Wellness Center and South Texas TMS. The Psychiatrist-Patient Services Agreement contains important information about my professional 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 with regard to the use and disclosure of your Protected Health Information (PHI) used for the purpose of treatment, payment, and health care operations. You may revoke this Agreement in writing at any time.

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