Common Contracts

1 similar Therapist-Patient Services Agreement contracts

THERAPIST-PATIENT SERVICES AGREEMENT
Therapist-Patient Services Agreement • February 5th, 2021

Welcome to my practice! The Therapist-Patient Services Agreement 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 regarding the use and disclosure of your Protected Health Information (PHI) used for the purpose of treatment, payment, and health care operations. You may revoke this Agreement in writing at any time.

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