Right to Receive Confidential Communications by Alternative Means and at Alternative Locations. You have the right to request and receive confidential communications of PHI by alternative means and at alternative locations. (For example, you may not want a family member to know that you are seeing me. On your request, I will send your bills to another address.)
Appears in 14 contracts
Samples: Psychotherapy Services Agreement, Psychotherapy Services Agreement, Patient Services Agreement
Right to Receive Confidential Communications by Alternative Means and at Alternative Locations. You have the right to request and receive confidential communications of PHI by alternative means and at alternative locations. (For example, you may not want a family member to know that you are seeing meus. On your request, I we will send your bills communications to another address.)
Appears in 14 contracts
Samples: Psychologist Client Services Agreement, Therapist Client Services Agreement, Therapist Client Services Agreement
Right to Receive Confidential Communications by Alternative Means and at Alternative Locations. You have the right to request and receive confidential communications of PHI by alternative means and at alternative locations. (For example, you may not want a family member to know that you are seeing me. On Upon your request, I will send your bills to another address.)
Appears in 12 contracts
Samples: Services Agreement, Patient Services Agreement, Patient Services Agreement
Right to Receive Confidential Communications by Alternative Means and at Alternative Locations. You have the right to request and receive confidential communications of PHI by alternative means and at alternative locations. (For example, you may not want a family member to know that you are seeing meus. On Upon your request, I we will send your bills to another address.)
Appears in 9 contracts
Samples: Premier Psychological Services, Service Agreement, Informed Consent Notice and Fee and Payment Agreement
Right to Receive Confidential Communications by Alternative Means and at Alternative Locations. You have the right to request and receive confidential communications of PHI by alternative means and at alternative locations. (For example, you may not want a family member to know that you are seeing mea counselor at this office. On your request, I this office will send your bills to another address.)
Appears in 3 contracts
Samples: thetalkingplace.org, thetalkingplace.org, thetalkingplace.org
Right to Receive Confidential Communications by Alternative Means and at Alternative Locations. You have the right to request and receive confidential communications of PHI by alternative means and at alternative locations. locations (For for example, you may not want a family member to know that you are seeing me. On Upon your request, I will send your bills to another address).)
Appears in 2 contracts
Samples: Fee Agreement, Fee Agreement
Right to Receive Confidential Communications by Alternative Means and at Alternative Locations. You have the right to request and receive received confidential communications of PHI by alternative means and at alternative locations. (For example, you may ay not want a family member to know that you are seeing me. On your Upon request, I will send your bills to another address.)
Appears in 1 contract
Samples: uploads.documents.cimpress.io
Right to Receive Confidential Communications by Alternative Means and at Alternative Locations. You have the right to request and receive confidential confidential communications of PHI by alternative means and at alternative locations. (For example, you may not want a family member to know that you are seeing meus. On your request, I we will send your bills communications to another address.)
Appears in 1 contract
Right to Receive Confidential Communications by Alternative Means and at Alternative Locations. You have the right to request and receive confidential communications of PHI by alternative means and at alternative locations. (For example, you may not want a family member to know that you are seeing me. On your request, I will send your bills to another address.)
Appears in 1 contract
Samples: Please Complete And
Right to Receive Confidential Communications by Alternative Means and at Alternative Locations. You have the right to request and receive confidential communications of PHI by alternative means and at alternative locations. (For example, you may not want a family member to know that you are seeing me. On your request, I we will send your bills to another address.)
Appears in 1 contract
Samples: therapistsbirmingham.com
Right to Receive Confidential Communications by Alternative Means and at Alternative Locations. You have the right to request and receive confidential communications of PHI by alternative means and at alternative locations. (For example, you may not want a family member to know that you are seeing mea therapist. On your request, I we will send your bills to another address.)
Appears in 1 contract
Samples: Patient Services Agreement
Right to Receive Confidential Communications by Alternative Means and at Alternative Locations. You have the right to request and receive confidential communications of PHI by alternative means and at alternative locations. (For example, : you may not want a family member to know that you are seeing me. On Upon your request, I will send your bills xxxx to another address.)
Appears in 1 contract
Samples: www.christopherpawson.com
Right to Receive Confidential Communications by Alternative Means and at Alternative Locations. You have the right to request and receive confidential communications of PHI by alternative means and at alternative locations. (For example, you may not want a family member to know that you are seeing me. On your request, I BCS will send your bills to another address.)
Appears in 1 contract
Samples: Services Agreement
