Treatment Authorization and Agreement Sample Contracts

Treatment Authorization and Agreement
Treatment Authorization and Agreement • January 10th, 2023
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TREATMENT AUTHORIZATION AND AGREEMENT
Treatment Authorization and Agreement • April 30th, 2020

This document contains important information about the professional services and business policies of Bay Area Health Psychology (BAHP). It also contains summary information about HIPAA – the Health Insurance Portability and Accountability Act – a federal law that provides privacy protection and client rights regarding the use and disclosure of Protected Health Information (PHI). Please read this treatment agreement carefully and write down any questions you have so you can discuss them with your therapist at your next appointment. When you sign this document, it will represent an agreement between you, your therapist, and Bay Area Health Psychology.

Compass Psychological Services, LLC
Treatment Authorization and Agreement • February 14th, 2022
Compass Psychological Services, LLC
Treatment Authorization and Agreement • November 7th, 2019
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