Common Contracts
1 similar null contracts
B R I D G E T F A N N I N G - O N O , P S Y . D .February 18th, 2021
Welcome to my practice. This document contains important information about my professional services and business policies. A new federal law, the Health Insurance Portability and Accountability Act (HIPAA) requires that I provide you with a document called the Privacy Notice that explains new regulations pertaining to patient rights and privacy protections regarding the use and disclosure of protected health information. This document is attached to this Informed Consent For Treatment Agreement. The law also requires that I obtain your signature acknowledging that I 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 also represent an agreement between us. You may revoke this Agreement in writing at any time except to the extent that I have taken action in reliance on it; if there are obligations imposed on me by your health insurer in order to process o
