Consent Documents
Review and access all consent documents related to your care with Plus Wellbeing. Each document outlines important information about your rights and responsibilities.
Authorization for Plus Wellbeing to communicate with you regarding your care, appointments, and health-related information through various channels.
Authorization to assign insurance benefits and payments directly to Plus Wellbeing for services rendered.
Acknowledgment that you have been informed about the nature of the services, potential risks, benefits, and alternatives before receiving care.
Notice describing how your protected health information may be used and disclosed, and how you can access your records under HIPAA regulations.
Acknowledgment of financial responsibility for services, including co-pays, deductibles, and any balances not covered by insurance.
Notice that Plus Wellbeing complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.