Common Contracts
1 similar Outpatient Services Agreement contracts
OUTPATIENT SERVICES AGREEMENTOutpatient Services Agreement • July 13th, 2016
Welcome to Palos Behavioral Health Professionals (PBHP). This document (the Agreement) contains important information about PBHP’s 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 new patient rights with regard to the use and disclosure of your Protected Health Information (PHI) used for the purposes of treatment, payment, and health care operations. HIPAA requires that PBHP provide you with a Notice of Privacy Practices (the Notice) for use and disclosure of PHI for treatment, payment, and heal care operations. The Notice—a separate document—explains HIPAA and its application to your personal health information in greater detail. The law requires that PBHP obtain your signature acknowledging that you have been provided with this. Although these documents are long and sometimes complex, it is very important that you read them carefu
