PENNSYLVANIA NOTICE FORM

Notice of Psychologists' Policies and Practices to Protect the Privacy of Your Health Information

THIS NOTICE DESCRIBES HOW PSYCHOLOGICAL AND MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.  PLEASE REVIEW IT CAREFULLY.

Main topic headings are listed here see below for full version:

1. Uses and Disclosures for Treatment, Payment, and Health Care Operations
   

2. Uses and Disclosures Requiring Authorization
   

3. Uses and Disclosures with Neither Consent nor Authorization
   

4. Patient's Rights and Psychologist's Duties
   

5. Questions and Complaints
   

6. Effective Date, Restrictions and Changes to Privacy Policy
   

Click here for Full text version of the Privacy Policy

HIPAA Privacy Policy

Notice of Psychologists' Policies and Practices to Protect the Privacy of Your Health Information

Phone: 215-956-0333

Fax: 215-956-0308

Email: mullmed@comcast.net

To contact us:

Home | Insurances Accepted | About our office | Office Hours  & Location | Self Tests & Special Services offered | Fee Schedule | Directory of Related Links | Curriculum Vitae |  HIPAA Privacy Policy  | Additional Information

142 E Moreland Ave.

Hatboro, PA 19040-4714

CLINICAL PSYCHOLOGIST

Michael J. Mulligan, M.Ed.

Affiliates &Colleagues