Common Contracts
2 similar Policy Agreement & Consent to Treat contracts
Ellen Ronka, LCMHC PsychotherapistPolicy Agreement & Consent to Treat • November 21st, 2022
The Board of Examiners of Psychology and Mental Health Practice of the State of New Hampshire require that all mental health professionals provide their clients with the following basic information. This form includes information that is in addition to what is detailed in my Notice of Privacy Practices and it is subject to HIPAA preemptive analysis. I encourage you to discuss any item with me if and when you have questions.
POLICY AGREEMENT & CONSENT TO TREATPolicy Agreement & Consent to Treat • February 11th, 2021
The Board of Examiners of Psychology and Mental Health Practice of the State of New Hampshire require that all mental health professionals provide their clients with the following basic information. This form includes information that is in addition to what is detailed in my Notice of Privacy Practices and it is subject to HIPAA preemptive analysis. I encourage you to discuss any item with me if and when you have questions.
