Common Contracts
1 similar Therapeutic Services Agreement contracts
ContractTherapeutic Services Agreement • April 8th, 2021
Welcome to my practice. This document (the Agreement) contains important information about my professional services and business policies. My goal is to present relevant information in a clear manner so that you may enter the therapeutic relationship with a good understanding of many aspects of psychological services. This agreement also contains summary information about the Health Insurance Portability and Accountability Act (HIPAA), a federal law that provides new privacy protections and new 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. The Notice, which is attached to this Agreement, explains HIPAA and its application to your personal health information in greater detail. The law requires that I obtain your signature acknowledging that I have provided you with this information at or before the end of the first meeting. Although these documents are long and somet
