Common Contracts
1 similar Psychotherapist-Patient Services Agreement contracts
Psychotherapist-Patient Services AgreementPsychotherapist-Patient Services Agreement • July 24th, 2020
Welcome to the Center for Psychological Growth & Dr. Gary Howell, Psy.D., PC. This document (the Agreement) contains important information about our 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 patient rights with regard to the use and disclosure of your Protected Health Information (PHI), which may be used for the purpose of treatment, payment, and health care operations. HIPAA requires that we 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 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
