ContractOffice Policies & General Information Agreement for Psychotherapy • February 28th, 2019
CONFIDENTIALITY: All information disclosed within sessions and the written records pertaining to those sessions are confidential and may not be revealed to anyone without your (client’s) written permission, except where disclosure is required by law. Most of the provisions explaining when the law requires disclosure were described to you in the Notice of Privacy Practices that you received with this form.
Melissa Wetherington 926 Haddonfield Road, Number 667 Cherry Hill, NJ 08002 856-209-3049 melissa@nurturingheartstherapy.com NJ LPC 37PC00649500 www.nurturingheartstherapy.com Office Policies & General Information Agreement for PsychotherapyOffice Policies & General Information Agreement for Psychotherapy • July 8th, 2019
This form provides you, the client, with information that is additional to that detailed in the Notice of Privacy Practices and it is subject to HIPAA preemptive analysis.
