General Information and Psychotherapy Services AgreementGeneral Information and Psychotherapy Services Agreement • October 8th, 2020
Welcome to my practice. I appreciate your trust and the opportunity to assist you. Maryland and D.C. law require that I provide you with this information and that I obtain your signature acknowledging that I have done so. 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 (HIPPA), a federal law that provides new privacy protection and new patient rights with regard to the use and disclosure of your Protected Health Information (PHI) used for the purpose of treatment, payment and health care operations. Please read it carefully and jot down any questions you might have so that we can discuss them at your next meeting.
