Common Contracts
1 similar null contracts
Psychotherapist- Patient Services AgreementJanuary 28th, 2022
Welcome to my practice. This document 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 with regards to the use and disclosure of your Protected Health information (PHI) used for the purposes of treatment, payment, and health care operations. HIPAA requires that I provide you with a Notice of Privacy Practices (the Notice) for use and disclosure of PHI for treatment, payment and health care operations. The Notice, which is attached to this Agreement, explains HIPAA and it’s applications to your personal health information in greater detail. The law requires that we obtain your signature acknowledging that I have provided you with this information. Although these documents are sometimes long and complex, it is very important that you read them carefully. I can discuss any question
