Legal Templates Bundle
Includes 10 essential legal document templates necessary for any healthcare practice to be HIPAA and HITECH compliant for both in person and secure telehealth sessions.
- Confidentiality of Information and Computer Access Code Agreement
- Informed Consent for Online Treatment
- HIPAA Business Associate Agreement
- Internet Security / Access & External Email Policy
- Notice of Privacy Practices
- Receipt and Acknowledgement of Notice of Privacy Practices
- Privacy/Confidentiality of Patient Information
- Authorization for Disclosure of Protected Health Information
- Consent for the Release of Confidential Alcohol or Drug Treatment Information
- Permission to Contact Form
PLEASE NOTE: Once you have submitted your order and your payment is processed, you will receive a separate email within 24 hours with your forms included as an attachment. If you have any questions or issues please contact firstname.lastname@example.org
By completing this purchase you are agreeing to the following Terms of Service:
TEMPLATE FORMS AGREEMENT AND DISCLAIMER
Your use of these forms is governed by this Agreement.
The Content in These Template Forms Does Not Constitute Legal Advice
The Virtual Therapy Center, LLC, operating as VTConnect, (“VTC”) is pleased to provide you with this set of template forms (“Forms”). THE INFORMATION PROVIDED IN THE FORMS IS NOT LEGAL ADVICE. Please note that health care laws and regulations are complex and change frequently. VTC STRONGLY RECOMMENDS THAT YOU CONSULT A LAWYER TO OBTAIN LEGAL ADVICE CONCERNING THE INFORMATION PROVIDED IN THE FORMS, AND THAT THE FORMS ARE TAILORED TO YOUR PARTICULAR SITUATION.
Use Rights and Limitations
These Forms are provided to you on a non-transferable basis. The license to use them is personal to you. You are not allowed to share, give, or provide copies of these Forms to anyone for any reason whatsoever, except (1) your legal counsel that will need to tailor them to your particular situation, and (2) individuals or organizations that need to sign the Forms. You, along with your legal counsel, are free to make any and all changes to these Forms that you believe are appropriate.
WHILE WE HAVE WORKED HARD TO ENSURE THAT THE INFORMATION CONTAINED IN THE FORMS ARE CORRECT, VTC IS NOT RESPONSIBLE FOR ANY ERRORS OR OMISSIONS, OR FOR ANY CONSEQUENCES FROM THE USE OF THE FORMS. THE CONTENT MAY INCLUDE TYPOGRAPHICAL ERRORS OR TECHNICAL INACCURACIES. ALL FORMS ARE PROVIDED “AS IS”, WITH NO GUARANTEE OF COMPLETENESS OR ACCURACY AND WITHOUT WARRANTY OF ANY KIND, EXPRESS OR IMPLIED INCLUDING, BUT NOT LIMITED TO WARRANTIES OF PERFORMANCE, MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE.
We may terminate your right to use the Forms at any time, should we learn that you are using them outside of the scope of the use permitted in this Agreement.
By signing this Agreement and accepting the Forms, you understand and agree that you will indemnify and hold VTC harmless from the use of the Forms. VTC will not be liable to you for any loss, damage, judgment, award, assessment of costs, expenses, or attorneys’ fees in connection with the use of such Forms.
The laws of the State of Virginia govern this Agreement, without reference to its conflicts of laws. The parties consent to personal jurisdiction of the state and federal courts in Virginia. This Agreement is binding and constitutes the entire agreement between the parties and supersedes all previous negotiations, agreements and commitments; it shall only be amended in writing signed by both parties. If any provision of this Agreement is judged to be invalid, illegal or unenforceable, that provision shall be deemed deleted and the remainder will not be affected. All notices will be delivered by electronic mail to us at email@example.com or to you at the email address you have provided to us. This Agreement is not assignable. Any provision of this Agreement that by its nature should survive this Agreement’s termination shall so survive. VTC’s failure to enforce any provision of this Agreement will not be deemed a waiver of the provision or any right under the Agreement. The parties are and will be independent contractors. Neither party will be in default in the performance of this Agreement because of reasons outside of the reasonable control of either party.