Common Contracts
2 similar Combined Services Agreement contracts
CNS Combined Services AgreementCombined Services Agreement • September 30th, 2021
This document contains important information about Children’s Neuropsychological Services, LLC (CNS, LLC) professional services and business policies. It also contains summary information about the Health Insurance Portability and Accountability Act (HIPAA), a new federal law that provides new privacy protections and new client 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. HIPAA requires CNS, LLC to provide you with a Notice of Privacy Practices for use and disclosure of PHI for 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 CNS, LLC obtain your signature acknowledging that this information has been provided. Please read these documents carefully. The clinician working with you can discuss any questions you have whe
CNS Combined Services AgreementCombined Services Agreement • September 30th, 2021
This document contains important information about Children’s Neuropsychological Services, LLC (CNS, LLC) professional services and business policies. It also contains summary information about the Health Insurance Portability and Accountability Act (HIPAA), a new federal law that provides new privacy protections and new client 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. HIPAA requires CNS, LLC to provide you with a Notice of Privacy Practices for use and disclosure of PHI for 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 CNS, LLC obtain your signature acknowledging that this information has been provided. Please read these documents carefully. The clinician working with you can discuss any questions you have whe
