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Franco Psychological Associates, PC
26 State Avenue, Suite 101
Carlisle, PA 17015
(717) 243-1896 |
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Confidentiality and Privacy
Cover Letter
HIPAA Notice
Service Agreement
To: All Clients of Franco Psychological Associates
Our Confidentiality Pledge to You
We believe that any successful treatment begins
with a trusting relationship between you, our client, and the people in our
office.
All of our staff are required by law to safeguard
the information they learn about a client through the course of treatment including
any personal health information.
While we have always held to the strictest and highest
standards regarding your privacy and confidentiality, a new federal law The
Health Insurance Portability and Accountability Act (HIPAA) offers you greater
privacy protection regarding your personal health information, what information
your insurance carrier can ask us to provide, and the rights that you have.
Attached is a “NOTICE” of these
new regulations for your review.
We have also amended our Client Service
Agreement to be consistent with the language of the new law.
If you decide to enter services at Franco Associates, we will ask you to review
both forms and sign them. We will be happy to provide you with a copy if you
request one.
Thank you for your assistance.
Edward A. Franco, Ph.D.
Owner, Franco Psychological Associates and Privacy Officer
Patient Cover Letter,
HIPAA 4/03
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