Common Contracts
1 similar Treatment Agreement contracts
Barbara G Isaacs, Ph.D., P.C.Treatment Agreement • August 9th, 2012
This document contains important information about my professional services and business practices. It also contains summary information about the Health Insurance Portability and Accountability Act (HIPAA), the federal law that provides new privacy protections and new 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 for use and disclosure of PHI for treatment, payment and health care operations. The Notice, which is included in this Agreement, explains HIPAA and its application to your personal health information in greater detail. “Health information” is information in any form that relates to any past, present, or future health of an individual. The law requires that I obtain your signature acknowledging that I have provided you with this information at the start of treatment. Although these docume
