Common Contracts
1 similar Clinician Agreement contracts
Revised 2/19/19Clinician Agreement • March 12th, 2019
This document contains important information about therapy services and business policies. It also contains summary information about the Health Insurance Portability and Accountability Act (HIPAA), the federal law that provides new privacy protections and new patient 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 we provide you with a Notice of Privacy Practices (the notice) for use and disclosure of PHI for treatment, payment and health care operations. The Notice, which has also been provided to you, explains HIPAA and its application to your personal health information in greater detail, and my practice in general accordance with HIPAA policies. The law requires that we obtain your signature acknowledging that we have provided you with this information at the end of this session.
