I have downloaded and read the Office Policies and Informed Consent, the
Financial Agreement, and the HIPAA Notice documents available on https://www.drmayaklein.com
and I agree and consent to all policies. I have had the opportunity to
ask questions about all policies. Dr. Maya Klein may use any insurance
billing company to submit my information if I am using insurance and that
I will receive either post or email billing at the addresses provided above
containing my statements.