Common Contracts

2 similar Psychologist-Client Service Agreement contracts

Dr. Pearl Zurich & Associates
Psychologist-Client Service Agreement • December 16th, 2021

Welcome to my practice. This document contains important information about my professional services and business policies. It also contains a summary of the Health Insurance Portability and Accountability Act (HIPAA), a federal law that provides privacy protections and patient rights about the use and disclosure of your Protected Health Information (PHI) for the purposes of treatment, payment, and health care operations. Although these documents are long and sometimes complex, it is very important that you understand them. When you sign this document, it will also represent an agreement between us.

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Dr. Pearl Zurich & Associates
Psychologist-Client Service Agreement • September 22nd, 2021

Welcome to my practice. This document contains important information about my professional services and business policies. It also contains a summary of the Health Insurance Portability and Accountability Act (HIPAA), a federal law that provides privacy protections and patient rights about the use and disclosure of your Protected Health Information (PHI) for the purposes of treatment, payment, and health care operations. Although these documents are long and sometimes complex, it is very important that you understand them. When you sign this document, it will also represent an agreement between us.

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