Office Policies and Agreement for Psychological Services Sample Contracts

OFFICE POLICIES AND AGREEMENT FOR PSYCHOLOGICAL SERVICES
Office Policies and Agreement for Psychological Services • January 28th, 2022

Welcome to the Learning Assessment Center, LLC. I know that selecting an evaluation team is an important decision for your family, and you may have many questions. This letter is to introduce myself and give you 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 with regards to the use and disclosure of your Protected Health Information (PHI) used for treatment, payment, and health care operations. HIPAA requires that I provide you with Notice of Privacy Practices (Georgia Notice Form) for use and disclosure of PHI for treatment, payment, and health care operations. The Notice, which is available on my website (www.learningassessmentcenter.com) and also in my office, explains HIPAA and its application to your personal health information in greater detail. The law requires that I obtain your signatur

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