Privacy Policy

This form, Notice of Privacy Practices, presents the information that federal law requires us to give our patients regarding our privacy practices. Please read the Privacy Practices and then print and sign the Acknowledgement of Privacy Practices.

• Notice of Privacy Practices (PDF)
• Acknowledgment of Privacy Practices (PDF)

Our privacy notice and acknowledgment forms use the Adobe Acrobat Reader. Please download the free plugin from Adobe's web site if it is not already installed on your system.