{"component": "contracts", "props": {"contracts": [{"intro": "This document (the Agreement) contains important information about my 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 protection 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 I provide you with a Notice of Privacy Practices (the Notice) for use and disclosure for treatment, payment, and health care operations. The Notice, which is attached to this Agreement, explains HIPAA and its application to your personal health information in greater detail.", "id": "c5YrdN42kGS", "source_url": "http://drdibenedettopsychology.com/wp-content/uploads/2017/07/DDPP-patient-agreement.pdf", "category_name": "Patient Services Agreement", "company_name": null, "created": "April 20th, 2017", "published": true, "pretty": null, "uri": "/contracts/c5YrdN42kGS", "title": "Contract", "group_id": "c5YrdN42kGS", "group_samples": [{"label": "Patient Services Agreement", "uri": "/contracts/c5YrdN42kGS", "published": true}], "group_size": 1, "tags": [{"name": "Patient Services Agreement", "type": "category", "uri": "/contracts/tagged/patient-services-agreement"}]}, {"intro": "", "id": "cJRoN8Bj8D1", "source_url": "https://www.familypsychiatrycollaborative.com/storage/app/media/2018-fpc-psychiatrist-patient-services-agreement.pdf", "category_name": "Patient Services Agreement", "company_name": null, "created": "September 20th, 2018", "published": true, "pretty": null, "uri": "/contracts/cJRoN8Bj8D1", "title": "Contract", "group_id": "cJRoN8Bj8D1", "group_samples": [{"label": "Patient Services Agreement", "uri": "/contracts/cJRoN8Bj8D1", "published": true}], "group_size": 1, "tags": [{"name": "Patient Services Agreement", "type": "category", "uri": "/contracts/tagged/patient-services-agreement"}]}, {"intro": "Welcome. This document contains important information about Atlanta CBT LLC\u2019s professional services and business policies. This document also contains a brief summary of 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). In compliance with HIPAA, you are also being provided with a Notice of Privacy Practices which explains this in much greater detail. It is very important that you read this document carefully, and discuss any questions you have at any time. After reviewing this information, please sign this form, which constitutes an agreement between yourself and Atlanta CBT, LLC and your licensed clinical psychologist or licensed clinical social worker. You may revoke this Agreement in writing at any time.", "id": "clCU590VjUL", "source_url": "https://www.atlanta-cbt.com/wp-content/uploads/2020/03/Atlanta-CBT-Services-Agreement-Form.pdf", "category_name": "Patient Services Agreement", "company_name": null, "created": "August 10th, 2021", "published": true, "pretty": null, "uri": "/contracts/clCU590VjUL", "title": "Patient Services Agreement", "group_id": "clCU590VjUL", "group_samples": [{"label": "Patient Services Agreement", "uri": "/contracts/clCU590VjUL", "published": true}], "group_size": 1, "tags": [{"name": "Patient Services Agreement", "type": "category", "uri": "/contracts/tagged/patient-services-agreement"}]}, {"intro": "This Patient Services Agreement governs the relationship between IndyCare Hillsborough and patients who enroll in one of our monthly IndyPass membership programs.", "id": "ddp6nQU7jk6", "source_url": "https://res2.weblium.site/res/5f0f18c3084ccd00211b4f3b/5f19b9c5ea39010022f28d13", "category_name": "Patient Services Agreement", "company_name": null, "created": "November 21st, 2020", "published": true, "pretty": null, "uri": "/contracts/ddp6nQU7jk6", "title": "INDYPASS PATIENT SERVICES AGREEMENT", "group_id": "ddp6nQU7jk6", "group_samples": [{"label": "Patient Services Agreement", "uri": "/contracts/ddp6nQU7jk6", "published": true}], "group_size": 1, "tags": [{"name": "Patient Services Agreement", "type": "category", "uri": "/contracts/tagged/patient-services-agreement"}]}, {"intro": "Welcome to my practice. This document (the Agreement) contains important information about my 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), which may be used for the purpose of treatment, payment, and health care operations. HIPAA requires that I 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 is attached to this Agreement, explains HIPAA and its application to your personal health information in greater detail. The law requires that I obtain your signature acknowledging that I have provided you with this information. Although these documents are long and sometimes complex, it is very important that you read them carefully b", "id": "ev2Kagyerfk", "source_url": "http://www.drmitchellhicks.com/Documents/Consent%20for%20Treatment%20-%20Individual.pdf", "category_name": "Patient Services Agreement", "company_name": null, "created": "August 30th, 2015", "published": true, "pretty": null, "uri": "/contracts/ev2Kagyerfk", "title": "PSYCHOTHERAPIST \u2013 PATIENT SERVICES AGREEMENT", "group_id": "ev2Kagyerfk", "group_samples": [{"label": "Patient Services Agreement", "uri": "/contracts/ev2Kagyerfk", "published": true}], "group_size": 1, "tags": [{"name": "Patient Services Agreement", "type": "category", "uri": "/contracts/tagged/patient-services-agreement"}]}, {"intro": "Carlton remains curricular: she depersonalizing her babirussa brush-offs too slimly? Stern inspissated her scatt persistently, she evoke it pompously. Blaine remains rigid: she ladyfies her imputability brutifying too discreditably?", "id": "f99Uf2BZhsm", "source_url": "https://www.taylorpond.com/wp-content/uploads/formidable/6/lcsw-and-patient-services-agreement-in-texastemplate.pdf", "category_name": "Patient Services Agreement", "company_name": null, "created": "June 2nd, 2022", "published": true, "pretty": null, "uri": "/contracts/f99Uf2BZhsm", "title": "Lcsw And Patient Services Agreement In Texastemplate", "group_id": "f99Uf2BZhsm", "group_samples": [{"label": "Patient Services Agreement", "uri": "/contracts/f99Uf2BZhsm", "published": true}], "group_size": 1, "tags": [{"name": "Patient Services Agreement", "type": "category", "uri": "/contracts/tagged/patient-services-agreement"}]}, {"intro": "This document (the Agreement) 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 protection 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 Notice) for use and disclosure for treatment, payment, and health care operations. The Notice, which is attached to this Agreement, 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. Although these documents are long and sometimes complex, it is very important that you read them carefully. We can discuss any questions you have abo", "id": "fHx4R7PA6lO", "source_url": "https://drdibenedettopsychology.com/wp-content/uploads/2019/12/DDPP-patient-agreement-2020.pdf", "category_name": "Patient Services Agreement", "company_name": null, "created": "December 8th, 2019", "published": true, "pretty": null, "uri": "/contracts/fHx4R7PA6lO", "title": "Contract", "group_id": "fHx4R7PA6lO", "group_samples": [{"label": "Patient Services Agreement", "uri": "/contracts/fHx4R7PA6lO", "published": true}], "group_size": 1, "tags": [{"name": "Patient Services Agreement", "type": "category", "uri": "/contracts/tagged/patient-services-agreement"}]}, {"intro": "Welcome to my practice. I appreciate your trust and the opportunity to assist you. I am providing you with the following information to answer many of the questions people typically have when beginning counseling/psychotherapy, and to outline policies and procedures that are specific to my work. If you have any questions, thoughts, or feelings about what is printed, please always feel free to discuss them with me in our sessions. When you sign this document, it will represent an agreement between us.", "id": "fkLhZj8qODE", "source_url": "https://drvogeldavis.com/wp-content/uploads/2020/10/Client-Services-Agreement.pdf", "category_name": "Patient Services Agreement", "company_name": null, "created": "October 28th, 2020", "published": true, "pretty": null, "uri": "/contracts/fkLhZj8qODE", "title": "PATIENT SERVICES AGREEMENT", "group_id": "fkLhZj8qODE", "group_samples": [{"label": "Patient Services Agreement", "uri": "/contracts/fkLhZj8qODE", "published": true}], "group_size": 1, "tags": [{"name": "Patient Services Agreement", "type": "category", "uri": "/contracts/tagged/patient-services-agreement"}]}, {"intro": "Welcome to my practice. This document (the Agreement) contains important information about my professional services and business policies. It also contains summary information about the Health Insurance Portability and Accountability Act (HIPAA), a new 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 I 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 is attached to this Agreement, explains HIPAA and its application to your personal health information in greater detail. The law requires that I obtain your signature acknowledging that I have provided you with this information at the end of this session. Although these documents are long and sometimes complex, it is very important that y", "id": "gJ4hx4QFjs9", "source_url": "https://static1.squarespace.com/static/5ee532e863842071d177504f/t/5f0aabf7b35453569b3b5244/1594534903741/HIPAA.docx", "category_name": "Patient Services Agreement", "company_name": null, "created": "March 30th, 2009", "published": true, "pretty": null, "uri": "/contracts/gJ4hx4QFjs9", "title": "Harriet Boxer, Ph.D. Psy.D.", "group_id": "gJ4hx4QFjs9", "group_samples": [{"label": "Patient Services Agreement", "uri": "/contracts/gJ4hx4QFjs9", "published": true}], "group_size": 1, "tags": [{"name": "Patient Services Agreement", "type": "category", "uri": "/contracts/tagged/patient-services-agreement"}]}, {"intro": "Welcome to my practice. This document contains important information about my professional services and business policies. It also contains summary information about the U.S. 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 treatment, payment, and health care operations.", "id": "glM8Gllk8j9", "source_url": "https://drsharonclayman.com/wp-content/uploads/2021/06/Dr-Sharon-Clayman-Services-Agreement.pdf", "category_name": "Patient Services Agreement", "company_name": null, "created": "April 9th, 2024", "published": true, "pretty": null, "uri": "/contracts/glM8Gllk8j9", "title": "Patient Services Agreement", "group_id": "glM8Gllk8j9", "group_samples": [{"label": "Patient Services Agreement", "uri": "/contracts/glM8Gllk8j9", "published": true}], "group_size": 1, "tags": [{"name": "Patient Services Agreement", "type": "category", "uri": "/contracts/tagged/patient-services-agreement"}]}, {"intro": "Welcome to Hawaii Center for Psychology (HCP). This document (the Agreement) 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 HCP 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 is attached to this Agreement, explains HIPAA and its application to your personal health information in greater detail. The law requires that HCP obtain your signature acknowledging that this information has been provided to you at the end of this session. Although these documents are long and sometimes complex, it is very ", "id": "gpFlRVvNzRc", "source_url": "https://www.hawaiicenterforpsychology.com/storage/app/media/myFiles/Assessment-Services-Agreement.pdf", "category_name": "Patient Services Agreement", "company_name": null, "created": "September 16th, 2017", "published": true, "pretty": null, "uri": "/contracts/gpFlRVvNzRc", "title": "ASSESSMENT-PATIENT SERVICES AGREEMENT", "group_id": "gpFlRVvNzRc", "group_samples": [{"label": "Patient Services Agreement", "uri": "/contracts/gpFlRVvNzRc", "published": true}], "group_size": 1, "tags": [{"name": "Patient Services Agreement", "type": "category", "uri": "/contracts/tagged/patient-services-agreement"}]}, {"intro": "Welcome to the practice of Julie Pope Dantzler, MS LMHC Counseling Services. This Agreement contains important information about my professional services and business policies. A summary of information is included about the Health insurance Portability and Accountability Act (HIPAA), a 1996federal law (effective April 14, 2003) that provides privacy protections and patient\u2019s 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 I 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 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. Although these documents are long and sometimes complex, it is very important that you ", "id": "grz3gp77Ofk", "source_url": "https://www.juliedantzler.com/userfiles/1711622/file/PATIENT%20SERVICES%20AGREEMENT.pdf", "category_name": "Patient Services Agreement", "company_name": null, "created": "November 13th, 2020", "published": true, "pretty": null, "uri": "/contracts/grz3gp77Ofk", "title": "JULIE POPE DANTZLER, M.S., LMHC", "group_id": "grz3gp77Ofk", "group_samples": [{"label": "Patient Services Agreement", "uri": "/contracts/grz3gp77Ofk", "published": true}], "group_size": 1, "tags": [{"name": "Patient Services Agreement", "type": "category", "uri": "/contracts/tagged/patient-services-agreement"}]}, {"intro": "", "id": "hICNwoBODY8", "source_url": "https://sugarbendcenter.com/wp-content/uploads/2021/06/DrJohnsonChildPacket061421.pdf", "category_name": "Patient Services Agreement", "company_name": null, "created": "June 14th, 2021", "published": true, "pretty": null, "uri": "/contracts/hICNwoBODY8", "title": "Contract", "group_id": "hICNwoBODY8", "group_samples": [{"label": "Patient Services Agreement", "uri": "/contracts/hICNwoBODY8", "published": true}], "group_size": 1, "tags": [{"name": "Patient Services Agreement", "type": "category", "uri": "/contracts/tagged/patient-services-agreement"}]}, {"intro": "Welcome to my practice. This document (the Agreement) contains important information about my 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 I 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 is attached to this Agreement, explains HIPAA and its application to your personal health information in greater detail.", "id": "i7KOmLWwP3k", "source_url": "https://patconwaypsychotherapist.com/pdf/contract.pdf", "category_name": "Patient Services Agreement", "company_name": null, "created": "September 9th, 2017", "published": true, "pretty": null, "uri": "/contracts/i7KOmLWwP3k", "title": "PSYCHOTHERAPIST \u2014 PATIENT SERVICES AGREEMENT", "group_id": "i7KOmLWwP3k", "group_samples": [{"label": "Patient Services Agreement", "uri": "/contracts/i7KOmLWwP3k", "published": true}], "group_size": 1, "tags": [{"name": "Patient Services Agreement", "type": "category", "uri": "/contracts/tagged/patient-services-agreement"}]}, {"intro": "It is your legal right that sessions and records are kept private. Your confidentiality is protected by states laws and rules of the profession. However, there are a few rare situations in which confidentiality is not protected. Please see Florida Notice Form for the Health Insurance Portability and Accountability Act attached.", "id": "iOlPYBuWfND", "source_url": "https://www.ohpsgroup.com/storage/app/media/ohps-informed-consent-hippa.pdf", "category_name": "Patient Services Agreement", "company_name": null, "created": "October 20th, 2017", "published": true, "pretty": null, "uri": "/contracts/iOlPYBuWfND", "title": "OPTIMAL HEALTH Psychological Services Counselor \u2013 Patient Services Agreement", "group_id": "iOlPYBuWfND", "group_samples": [{"label": "Patient Services Agreement", "uri": "/contracts/iOlPYBuWfND", "published": true}], "group_size": 1, "tags": [{"name": "Patient Services Agreement", "type": "category", "uri": "/contracts/tagged/patient-services-agreement"}]}, {"intro": "Patient consents to receive the medical, diagnostic and other therapeutic services that may be provided by HippoHealth physicians and employees in connection with the Patient\u2019s care during this and other patient service encounters, including, but not limited to, diagnostic and therapeutic procedures and other services provided to the Patient upon the instruction of the HippoHealth physician.", "id": "iYJh7OmauJ9", "source_url": "https://static1.squarespace.com/static/5a8b0048cf81e00b8b7d1d56/t/5b1afa7d575d1f37d704e491/1528494720263/Hippo-Health-Patient-Services-Agreement.pdf", "category_name": "Patient Services Agreement", "company_name": null, "created": "November 7th, 2020", "published": true, "pretty": null, "uri": "/contracts/iYJh7OmauJ9", "title": "HIPPO HEALTH PATIENT SERVICES AGREEMENT", "group_id": "iYJh7OmauJ9", "group_samples": [{"label": "Patient Services Agreement", "uri": "/contracts/iYJh7OmauJ9", "published": true}], "group_size": 1, "tags": [{"name": "Patient Services Agreement", "type": "category", "uri": "/contracts/tagged/patient-services-agreement"}]}, {"intro": "This Patient Services Agreement (the \u201cServices Agreement\u201d) specifies the terms and conditions under which the undersigned patient (the \u201cPatient\u201d) may participate in the Washington Internal Medicine, Inc. Services Program (the \u201cProgram\u201d). This Services Agreement will become effective as of the date set forth by Washington Internal Medicine, Inc. (the \u201cConcierge\u201d) at the end of this Services Agreement (the \u201cEffective Date\u201d).", "id": "jKKhJRtShqc", "source_url": "https://sa1s3.patientpop.com/assets/docs/324427.pdf", "category_name": "Patient Services Agreement", "company_name": null, "created": "August 4th, 2021", "published": true, "pretty": null, "uri": "/contracts/jKKhJRtShqc", "title": "PATIENT SERVICES AGREEMENT", "group_id": "jKKhJRtShqc", "group_samples": [{"label": "Patient Services Agreement", "uri": "/contracts/jKKhJRtShqc", "published": true}], "group_size": 1, "tags": [{"name": "Patient Services Agreement", "type": "category", "uri": "/contracts/tagged/patient-services-agreement"}, {"name": "Virginia", "type": "jurisdiction", "uri": "/contracts/tagged/virginia-us"}]}, {"intro": "This PATIENT SERVICES AGREEMENT (\u201cAgreement\u201d) is between OneMed Florida, LLC, a Florida Limited liability company, d/b/a OneMed Clinic of Lake Nona, located at 10129 Clear Vista Street, Orlando, Florida, 32832 (\u201cOneMed\u201d), Sonita Khan, M.D., Reynald Lamarre, M.D. , Peter Ganpat, M.D. Carlos Ruiz, M.D., Luis Allen, M.D. (collectively \u201cPhysicians\u201d) in their capacity as an agents of OneMed, and you, (Patient), on date as noted by the electronic signature.", "id": "kUmaVQqywY6", "source_url": "https://s3-us-west-2.amazonaws.com/hint-api-production/document_versions/000/018/564/files/original.pdf?1626844033", "category_name": "Patient Services Agreement", "company_name": null, "created": "July 21st, 2021", "published": true, "pretty": null, "uri": "/contracts/kUmaVQqywY6", "title": "SINGLE PATIENT SERVICES AGREEMENT", "group_id": "kUmaVQqywY6", "group_samples": [{"label": "Patient Services Agreement", "uri": "/contracts/kUmaVQqywY6", "published": true}], "group_size": 1, "tags": [{"name": "Patient Services Agreement", "type": "category", "uri": "/contracts/tagged/patient-services-agreement"}, {"name": "Florida", "type": "jurisdiction", "uri": "/contracts/tagged/florida-us"}]}, {"intro": "Welcome to the Shelton Evaluation Center. This agreement contains important information about the center\u2019s professional services and business policies, including the nature of you or your child\u2019s evaluation, the fee arrangement, and the confidentiality of information. Although this document is long and sometimes complex, it is important that you read it carefully before the evaluation. When you sign this document, it will represent an agreement between you and the Shelton Evaluation Center (SEC). Please read it in advance and plan on meeting to discuss the agreement and any questions you may have at the time of the evaluation. The evaluation cannot proceed until you have fully read and understood this agreement in its entirety.", "id": "kYnu40F6v1R", "source_url": "https://resources.finalsite.net/images/v1749571737/shelton/bcqbukgcjic9dcqrjacm/ConsentForm6-2025.pdf", "category_name": "Patient Services Agreement", "company_name": null, "created": "June 10th, 2025", "published": true, "pretty": null, "uri": "/contracts/kYnu40F6v1R", "title": "SHELTON EVALUATION CENTER PATIENT SERVICES AGREEMENT", "group_id": "kYnu40F6v1R", "group_samples": [{"label": "Patient Services Agreement", "uri": "/contracts/kYnu40F6v1R", "published": true}], "group_size": 1, "tags": [{"name": "Patient Services Agreement", "type": "category", "uri": "/contracts/tagged/patient-services-agreement"}]}, {"intro": "This document (the Agreement) contains important information about my 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 protection 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 I 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 is attached to this Agreement, explains HIPAA and its application to your personal health information in greater detail.", "id": "krUWMfR165t", "source_url": "https://static1.squarespace.com/static/570961b3e321403c55472665/t/589ddb73d2b85721b3890fc4/1486740340957/PatientServicesAgreement.pdf", "category_name": "Patient Services Agreement", "company_name": null, "created": "February 8th, 2017", "published": true, "pretty": null, "uri": "/contracts/krUWMfR165t", "title": "PATIENT SERVICES AGREEMENT", "group_id": "krUWMfR165t", "group_samples": [{"label": "Patient Services Agreement", "uri": "/contracts/krUWMfR165t", "published": true}], "group_size": 1, "tags": [{"name": "Patient Services Agreement", "type": "category", "uri": "/contracts/tagged/patient-services-agreement"}]}, {"intro": "This Patient Services Agreement governs the relationship between Prestige Urgent Care and patients who enroll in one of our monthly membership programs.", "id": "lBCfxlFbxnn", "source_url": "https://cdn.b12.io/client_media/MbwTZ8oz/49efe004-9f79-11ea-9e9f-0242ac110003-Patient_Services_Agreement_Form.pdf", "category_name": "Patient Services Agreement", "company_name": null, "created": "December 2nd, 2013", "published": true, "pretty": null, "uri": "/contracts/lBCfxlFbxnn", "title": "Contract", "group_id": "lBCfxlFbxnn", "group_samples": [{"label": "Patient Services Agreement", "uri": "/contracts/lBCfxlFbxnn", "published": true}], "group_size": 1, "tags": [{"name": "Patient Services Agreement", "type": "category", "uri": "/contracts/tagged/patient-services-agreement"}]}, {"intro": "Welcome to Ruah Woods Psychological Services (RWPS), an outreach of Ruah Woods, a Catholic nonprofit ministry founded in 2009. Ruah Woods seeks to help men and women live their vocation to love, according to God\u2019s plan, as informed by the Theology of the Body. RWPS aids this mission by developing and providing high quality psychological services grounded in the Catholic vision of the human person to empower people to more fully embrace and live out their vocation to love according to God\u2019s plan. The services we provide include psychotherapy (child, adult, marital/family, group therapy), psychological assessments, vocational assessments, consultation/dialogue with mental health professionals, training/mentoring aspiring Catholic psychologists, and psychoeducation (writing, teaching, public speaking, etc.). Although our services are available to anyone regardless of religious affiliation or belief, RWPS therapists may incorporate and will follow Catholic doctrine and Catholic moral teach", "id": "lWL3CwRMM6N", "source_url": "http://www.rwpsych.org/wp-content/uploads/2018/08/RWPS_Patient_Services_Agreement.pdf", "category_name": "Patient Services Agreement", "company_name": null, "created": "February 6th, 2017", "published": true, "pretty": null, "uri": "/contracts/lWL3CwRMM6N", "title": "PATIENT SERVICES AGREEMENT", "group_id": "lWL3CwRMM6N", "group_samples": [{"label": "Patient Services Agreement", "uri": "/contracts/lWL3CwRMM6N", "published": true}], "group_size": 1, "tags": [{"name": "Patient Services Agreement", "type": "category", "uri": "/contracts/tagged/patient-services-agreement"}]}, {"intro": "Welcome to my practice. This document contains important information about my professional services and business policies. It also contains summary information about the Health Insurance Portability and Accountability Act (HIPAA), a 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.", "id": "lfhzNpLLYxB", "source_url": "https://www.marisanava.com/upload/patient_services_agreement.pdf", "category_name": "Patient Services Agreement", "company_name": null, "created": "October 6th, 2008", "published": true, "pretty": null, "uri": "/contracts/lfhzNpLLYxB", "title": "Patient Services Agreement", "group_id": "lfhzNpLLYxB", "group_samples": [{"label": "Patient Services Agreement", "uri": "/contracts/lfhzNpLLYxB", "published": true}], "group_size": 1, "tags": [{"name": "Patient Services Agreement", "type": "category", "uri": "/contracts/tagged/patient-services-agreement"}]}, {"intro": "", "id": "lxqHWmL6IsK", "source_url": "https://www.fereinkerphd.com/app/download/957213986/VA+Psychotherapist+-+Patient+Agreement+Form+2020.pdf", "category_name": "Patient Services Agreement", "company_name": null, "created": "December 29th, 2019", "published": true, "pretty": null, "uri": "/contracts/lxqHWmL6IsK", "title": "Frances E. Reinker, Ph.D.", "group_id": "lxqHWmL6IsK", "group_samples": [{"label": "Patient Services Agreement", "uri": "/contracts/lxqHWmL6IsK", "published": true}], "group_size": 1, "tags": [{"name": "Patient Services Agreement", "type": "category", "uri": "/contracts/tagged/patient-services-agreement"}]}], "next_curs": "", "cursor": "CjEKEAoKZ3JvdXBfc2l6ZRICCAEKGQoIZ3JvdXBfaWQSDRoLYlF4YVhJaVl6RTAYACAB"}}