Wisconsin Service Agreement for Mental Health Professional
Category:
State:
Multi-State
Control #:
US-70214NMS
Format:
Word;
Rich Text
Instant download
Description
This is a Service Contract for treatment by a mental health professional in Region IV (Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina and Tennessee) and the form includes Financial Policy, Notice of Patient Confidentiality, Notice of Privacy Practices, Filing of a Complaint against HIPAA-Covered Entities Believed to be Non-Compliant with HIPAA and a Social Media Policy.
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