Common Contracts
1 similar Therapist-Client Services Agreement contracts
THERAPIST-CLIENT SERVICES AGREEMENTTherapist-Client Services Agreement • June 16th, 2021
This document contains information about our services and business policies and a summary of the Health Insurance Portability and Accountability Act (HIPAA). This federal law 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. HIPAA requires that we provide you with a Notice of Privacy Practices and disclosure of PHI for treatment, payment and health care operations. The Notice explains HIPAA and its application to your personal health information in greater detail. The law requires that we obtain your signature acknowledging that we have provided you with this information. Although these documents are long and sometimes complex, it is very important that you read them carefully. When you sign this document, it will represent an agreement between us. You may revoke the Agreement in writing at any time. That revocation will be binding on us unle
