ContractTherapeutic Services Agreement • August 5th, 2020
Contract Type FiledAugust 5th, 2020This 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 federal law that provides privacy protections and patient rights with regard to the use and disclosure of your Protected Health Information (PHI). HIPAA requires us to 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, explains HIPAA and its application to your personal health information in greater detail. The law requires that we obtain your signature acknowledging that you have been provided with this information before we can provide services. Although these documents are long and sometimes complex, it is very important that you read them carefully before our initial session. We can discuss any questions you have about the procedures at tha