Please download and read our Notice of Privacy Practices. This Notice is also prominently displayed in our waiting areas and a copy may be obtained from our staff members for you to take with you on the day of your appointment.
The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.
Note: The above form is a PDF file. Please be sure you have Adobe Reader installed. If you can’t view the PDF, download Adobe Reader.