Serenity Place, LLCPsychotherapist-Client Service Agreement • February 10th, 2017
PSYCHOTHERAPIST-CLIENT SERVICE AGREEMENTPsychotherapist-Client Service Agreement • February 6th, 2018
Welcome to my practice. 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.
PSYCHOTHERAPIST-CLIENT SERVICE AGREEMENT INFORMED CONSENTPsychotherapist-Client Service Agreement • August 29th, 2020
Welcome to my practice. 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. This document represents an agreement between us. We can discuss any questions you have when you have read the document, or at any time in the future.
Sonia Bhatia, Psy.D., LMFT, Resolve CounselingPsychotherapist-Client Service Agreement • August 5th, 2020
Welcome to my practice. 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, 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.
PSYCHOTHERAPIST-CLIENT SERVICE AGREEMENTPsychotherapist-Client Service Agreement • September 8th, 2021
Welcome to my practice. I am looking forward to helping you achieve your goals. In order to be clear about our professional relationship, please read and sign this document. This document contains important information about my professional
Serenity Place, LLCPsychotherapist-Client Service Agreement • July 19th, 2022
