Common Contracts
1 similar Client Services Agreement contracts
Client Services AgreementClient Services Agreement • June 25th, 2012
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 (HIPPA), a 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. HIPPA 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 Notice, which is attached to this Agreement, explains HIPPA and its application to your personal health information in greater detail. The law requires that I obtain your signature acknowledging that I have provided you with this information. Although these documents are long and sometimes complex, it is very important that you read them carefully before our next session. We can
