Common Contracts
1 similar null contracts
PSYCHOTHERAPIST-PATIENT SERVICES AGREEMENTMarch 25th, 2019
Welcome to Yakama Nation Behavioral Health. This documentation contains important information about our professional services and business policies. It also contains summary information about the Health Insurance Portability and Accountability Act (HIPAA), a federal law that provides privacy protections and 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 yellow Notice Form) for use and disclosure of PHI for treatment, payment, and health care operations. The Notice explains HIPAA and its application to your personal health information in greater detail. The law requires that we obtain your signature acknowledging that we have provided you with this information. When you sign this document, it will also represent and agreement between us.
