Common Contracts
1 similar Psychotherapist-Patient Services Agreement contracts
BAKER COUNSELING SERVICES, LLCPsychotherapist-Patient Services Agreement • February 6th, 2020
Welcome to my practice. This document contains important information about Baker Counseling Services’ (BCS) professional services and business policies. It also contains summary information about the Health Insurance Portability and Accountability Act (HIPAA), a federal law that provides new privacy protections and new patient (herein referred to as “client”) 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. HIPAA requires that I provide you 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 I obtain your signature acknowledging that I have provided you with this information before our next session. We can discuss any questions you have about
