Patients Rights and Responsibilities


This document describes some details about your professional relationship with Hyde Park Counseling Professionals and their Therapist. It also describes how health information about you may be used and disclosed and how you can get access to this information. Please review it thoroughly and carefully. As you read each section, please ask us about anything you do not understand. Once you feel as though all of your questions have been answered to your satisfaction, kindly sign your initials on the designated line after each section to indicate you have reviewed the section in it’s entirely and agree to it. You have the right to review this entire document before signing anything. The terms of this contract may change and if so, you may obtain a revised copy by contacting me. Upon completion of your review of the entire document and after all of your questions have been answered; please sign your full name in the designated area on the last page. Once again, we would like to thank you for engaging us to assist you. We look forward to working with you.

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