Common Contracts
1 similar Patient Treatment Agreement contracts
Donna Bartlett, LCSW, LCAS, CMHt PROVIDER – PATIENT TREATMENT AGREEMENTPatient Treatment Agreement • April 16th, 2018
Welcome! This document contains important information about my practice and business policies. This document also contains brief information about the Health Insurance Portability and Accountability Act (HIPAA) a federal law designed to protect your privacy and your 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 we provide you with the additional notice of Privacy Practices that explains HIPAA and how it affects you. The law also requires that we obtain your signature acknowledging that you have received this information
