Common Contracts
1 similar Agreement for Psychological Services contracts
Misty K. Hook, Ph.D.Agreement for Psychological Services • July 13th, 2014
This document (the Agreement) 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. When you sign this document, it will also represent an agreement between us and your understanding of the limitations on confidentiality.
