Common Contracts
2 similar Therapist-Client Service Agreement contracts
Reflections Psychotherapy, P.C. Therapist-Client Service AgreementTherapist-Client Service Agreement • January 4th, 2022
This document contains important information about our professional services and business policies. You will also have an opportunity to review information about the Health Insurance Portability and Accountability Act (HIPPA), 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 options. The law requires that we obtain your signature acknowledging that I have provided you with this information at the first session. When you sign this document, it will represent an agreement between you and Reflections Psychotherapy, P.C. Please carefully review the following information and feel free to ask any questions you may have.
Reflections Psychotherapy, P.C. Therapist-Client Service AgreementTherapist-Client Service Agreement • September 13th, 2021
This document contains important information about our professional services and business policies. You will also have an opportunity to review information about the Health Insurance Portability and Accountability Act (HIPPA), 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 options. The law requires that we obtain your signature acknowledging that I have provided you with this information at the first session. When you sign this document, it will represent an agreement between you and Reflections Psychotherapy, P.C. Please carefully review the following information and feel free to ask any questions you may have.
