Common Contracts
1 similar Outpatient Services Agreement contracts
OUTPATIENT SERVICES AGREEMENTOutpatient Services Agreement • March 21st, 2019
Welcome to Chosen, PLLC! The purpose of this document is to provide you with information about our professional services and business policies. It also contains summary information about the Health Insurance Portability and Accountability Act (HIPAA). HIPAA provides new privacy protections and patient rights with regard to the use and disclosure of “Protected Health Information” (PHI) used for the purpose of treatment payment of services, and healthcare operations. Please read it carefully and jot down any questions you might have so we can discuss them in your appointment. When you sign this document, it will represent an agreement between us.
