Patient Privacy Notice
The Health Insurance Portability and Accountability Act (HIPAA) is
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. This notice explains your rights and my responsibilities.
You can read the notice here.
Psychologist Patient Agreement
My fees and policies and procedures are described in this agreement
which you can read here.
Patient Signature of Notifications
Before our first appointment you must sign a statement indicating
that you have read and understood the Patient Privacy Notice and the
Psychologist Patient Agreement. You can download a copy of the Patient
Signature Notifications form here.
Please print and sign the form and bring it with you to the first