Client-Counselor Service AgreementClient-Counselor Service Agreement • November 8th, 2016
Contract Type FiledNovember 8th, 2016This 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 patient 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.
Client-Counselor Service AgreementClient-Counselor Service Agreement • August 1st, 2020
Contract Type FiledAugust 1st, 2020Welcome to my practice. The success of psychotherapy depends upon a high degree of trust between you and your therapist. This document has been prepared to fully inform you about what to expect from therapy and from your therapist. 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 patient 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.