Common Contracts
4 similar Client Services Agreement contracts
Client Services AgreementClient Services Agreement • August 8th, 2023
Welcome to Auburn University Psychological Services Center (AUPSC). This document (the Client Services Agreement) contains important information about the professional services and business policies at AUPSC. It also contains summary information about the AUPSC’s Privacy Notice, which summarizes privacy protections and client rights with regard to the use and disclosure of your health information for the purpose of treatment, payment, and health care operations. As the AUPSC does not accept insurance, the Center does not serve as a covered-entity that operates under HIPAA. Still, the AUPSC upholds and adheres to the privacy standards of a covered entity. Thus, AUPSC provides you with a Notice of Privacy Practices (the Privacy Notice) for use and disclosure of health information for treatment, payment, and health care operations. The Privacy Notice is available on our website and will be given to you in person and/or via email, which explains our privacy practices and its application to
Client Services AgreementClient Services Agreement • August 11th, 2022
Welcome to Auburn University Psychological Services Center (AUPSC). This document (the Client Services Agreement) contains important information about the professional services and business policies at AUPSC. It also contains summary information about the Health Insurance Portability and Accountability Act (HIPAA), a federal law that provides privacy protections and client rights with regard to the use and disclosure of your Protected Health Information (PHI) used for the purpose of treatment, payment, and health care operations. HIPAA requires that AUPSC provides you with a Notice of Privacy Practices (the Notice) for use and disclosure of PHI for treatment, payment, and health care operations. The Notice is available on our website and will be emailed to you, explains HIPAA and its application to your personal health information in greater detail. The law requires that AUPSC obtains your signature acknowledging that AUPSC has provided you with this information at your first appointme
Client Services AgreementClient Services Agreement • August 10th, 2021
Welcome to Auburn University Psychological Services Center (AUPSC). This document (the Client Services Agreement) contains important information about the professional services and business policies at AUPSC. It also contains summary information about the Health Insurance Portability and Accountability Act (HIPAA), a federal law that provides privacy protections and client rights with regard to the use and disclosure of your Protected Health Information (PHI) used for the purpose of treatment, payment, and health care operations. HIPAA requires that AUPSC provides you with a Notice of Privacy Practices (the Notice) for use and disclosure of PHI for treatment, payment, and health care operations. The Notice is available on our website and will be emailed to you, explains HIPAA and its application to your personal health information in greater detail. The law requires that AUPSC obtains your signature acknowledging that AUPSC has provided you with this information at your first appointme
Client Services AgreementClient Services Agreement • June 29th, 2020
Welcome to Auburn University Psychological Services Center (AUPSC). This document (the Client Services Agreement) contains important information about the professional services and business policies at AUPSC. It also contains summary information about the Health Insurance Portability and Accountability Act (HIPAA), a federal law that provides privacy protections and client rights with regard to the use and disclosure of your Protected Health Information (PHI) used for the purpose of treatment, payment, and health care operations. HIPAA requires that AUPSC provides you with a Notice of Privacy Practices (the Notice) for use and disclosure of PHI for treatment, payment, and health care operations. The Notice is available on our website and will be emailed to you, explains HIPAA and its application to your personal health information in greater detail. The law requires that AUPSC obtains your signature acknowledging that AUPSC has provided you with this information at your first appointme
