Common Contracts

2 similar Patient Agreement contracts

Patient Agreement
Patient Agreement • April 18th, 2021

Welcome to my practice. This document (the Agreement) contains important information about my professional 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 regard to the use and disclosure of your protected health information (PHI) used for the purpose of treatment, payment, and health care operations.

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Patient Agreement
Patient Agreement • April 20th, 2019

Welcome to my practice. This document (the Agreement) contains important information about my professional 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 regard to the use and disclosure of your protected health information (PHI) used for the purpose of treatment, payment, and health care operations.

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