Common Contracts
1 similar Psychotherapist-Client Services Agreement contracts
PSYCHOLOGY CLINIC PSYCHOTHERAPIST-CLIENT SERVICES AGREEMENTPsychotherapist-Client Services Agreement • August 19th, 2014
Welcome to the Marshall University Psychology Clinic. This document (the Agreement) contains important information about our professional services and business policies. It also contains summary information about the Health Insurance Portability and Accountability Act (HIPAA), a new federal law that provides new privacy protections and new 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 (your therapist) 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 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 by the end of this session. Although these documents are long and sometimes complex, it is very importa
