COUNSELOR-CLIENT SERVICE AGREEMENT /INFORMED CONSENT FOR TREATMENTCounselor-Client Service Agreement • April 14th, 2017
Contract Type FiledApril 14th, 2017Welcome to my practice. This document contains important information about my 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 client rights about the use and disclosure of your Protected Health Information (PHI) for the purposes of treatment, payment, and health care operations. Although these documents are long and sometimes complex, it is very important that you understand them. When you sign this document, it will also represent an agreement between us. We can discuss any questions you have when you sign them or at any time in the future.