Common Contracts

2 similar null contracts

INFORMED CONSENT, OFFICE POLICIES, & GENERAL INFORMATION AGREEMENT FOR PSYCHOLOGICAL SERVICES
July 26th, 2019
  • Filed
    July 26th, 2019

This form provides you (Patient) with information that is additional to that detailed in the HIPPA Notice of Privacy Practices and it is subject to HIPAA pre-emptive analysis. (Revised January 30, 2013).

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INFORMED CONSENT, OFFICE POLICIES, & GENERAL INFORMATION AGREEMENT FOR PSYCHOLOGICAL SERVICES
June 25th, 2019
  • Filed
    June 25th, 2019

This form provides you (Patient) with information that is additional to that detailed in the HIPPA Notice of Privacy Practices and it is subject to HIPAA pre-emptive analysis. (Revised January 30, 2013).

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