Common Contracts
1 similar Agreement for Psychotherapy Services contracts
Quail Hollow Psychotherapy PLLCAgreement for Psychotherapy Services • August 8th, 2018
Welcome to my practice: This document contains important information about my professional services and business policies. It also contains summary information about the Health Insurance Portability and Accountability Act (HIPAA), a federal law that provides 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. 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 law requires that I obtain your signature acknowledging that I have provided you with this information. Please read it carefully and jot down any questions you might have so that we can discuss them at our first appointment. When you sign this document, it will represent an agreement between us.
