Common Contracts
1 similar Treatment Authorization and Agreement contracts
TREATMENT AUTHORIZATION AND AGREEMENTTreatment Authorization and Agreement • October 4th, 2022
This document contains important information about the professional services and business policies of Florida Health Psychology (FHP). 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 Florida Health Psychology.
