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Jill Kirov, MD 423 E. Main St., Suite 3 Endicott, NY 13760 (607)754-1101 PSYCHIATRIST PATIENT SERVICES AGREEMENT Welcome to my practice. This document (the Agreement) contains important information
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Psychiatrist-patient agreement is a legal contract between a psychiatrist and a patient outlining the terms and conditions of their therapeutic relationship.
The psychiatrist is required to file the psychiatrist-patient agreement.
Fill out the psychiatrist-patient agreement by providing accurate and detailed information about the responsibilities of both the psychiatrist and the patient.
The purpose of psychiatrist-patient agreement is to establish clear boundaries, roles, and expectations for both the psychiatrist and the patient in the therapeutic relationship.
Information such as confidentiality policies, payment terms, treatment goals, and termination procedures must be reported on the psychiatrist-patient agreement.
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