Common Contracts
1 similar Outpatient Services Agreement contracts
SALEM PSYCHOLOGICAL ASSOCIATES, P.A.Outpatient Services Agreement • February 7th, 2014
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 for use and disclosure of PHI and that I obtain your signature acknowledging that I have provided you with this information. Please read this document carefully and let me know if you have any questions.
