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1 similar Psychotherapy Service Agreement contracts
PSYCHOTHERAPY SERVICE AGREEMENT FOR THE TREATMENT OF ADULT CLIENTSPsychotherapy Service Agreement • November 5th, 2020
Welcome to my practice. This document contains important information about my professional services and business policies and information about the Health Insurance Portability and Accountability Act (HIPAA), a federal law providing privacy protections and client rights regarding 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 offer you with a Notice of Privacy Practices for use and disclosure of PHI for treatment, payment, and health care operations. This explains HIPAA and its application to your PHI. The law requires that I obtain your signature acknowledging that I have provided you this information by the end of this session. Please read them before our next session. We can discuss any questions you have at that time. When you sign, it will represent an agreement between us, which you may revoke at any time. That revocation will be binding on me unless I have taken actio
