Common Contracts

1 similar Therapist-Client Services Agreement contracts

THERAPIST-CLIENT SERVICES AGREEMENT
Therapist-Client Services Agreement • September 22nd, 2021

Welcome to my practice. The Health Insurance Portability and Accountability Act (HIPAA) requires that I provide you with a Notice of Privacy Practices for use and disclosure of PHI for treatment, payment and health care operations. Although these policies are long and sometimes complex, it is very important that you read them carefully before our next session. We can discuss any questions you have about the procedures at that time. When you sign this document, it will also represent an agreement between us. You may revoke this Agreement in writing at any time.

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