CLIENT SERVICES AGREEMENT & INFORMED CONSENT FOR PARENTS OF MINOR CLIENTSClient Services Agreement • July 23rd, 2022
Contract Type FiledJuly 23rd, 2022Welcome to CA Psychology, LLC. 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 about the use and disclosure of your Protected Health Information (PHI) for the purposes of treatment, payment, and health care operations. Although these documents are long and sometimes complex, it is very important that you understand them. When you sign this document, it will also represent an agreement between us. We can discuss any questions you have when you sign or at any time in the future.