Common Contracts

1 similar Psychological Services Agreement contracts

PSYCHOLOGICAL HEALTH AFFILIATES
Psychological Services Agreement • May 31st, 2021

Hello, and welcome to our practice. 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 of 1996 (HIPAA), a new federal law that mandates various 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. Please refer to the Notice of Privacy Practices (NPP), which accompanies this document, for a more detailed summary of your rights under HIPAA.

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