Privacy Policy

Our office is committed to the right to privacy for our patients and web site visitors. When a person visits our web site we may collect and track data from our site's server. This information helps us to improve upon the content provided on our site. Information collected may include how much time you spend on our site, the pages you visit, your browser and operating system types and the name of your Internet service provider.

Our web site provides the capability to request information online. To process your request, we may require that you provide us with personal identifying information. All information collected is held in complete confidence. It is our policy not to share the information with third parties for any reason, unless legally required to do so or as necessary to process your requests.

If you have any questions about our privacy policy or our use of information gathered through our web site, please contact us.

HIPAA Privacy Notice


You have the right to confidentiality of personal health information (PHI) provided by you to us, and/or created by us in connection with health care services rendered to you. In this regard, under applicable federal privacy laws, you have the right, subject to certain exceptions and limitations, to:

(1) Receive a paper copy of the form of notice of our information practices;

(2) See and copy your own health information;

(3) Request an amendment of the health information in your file, if you believe it is inaccurate;

(4) Submit a written statement regarding the contents of your medical record, if we disagree to your request for an amendment;

(5) An accounting of certain disclosures made by the office of your PHI over the past six years, other than disclosures regarding treatment, payment, or health care operations purposes. The covered disclosures essentially include those made without an authorization by you, if made for public interest or benefit purposes such as research, or in the context of legal proceedings or if made to the government in response to compliance and investigation reviews;

(6) Request restrictions, other than regarding emergency circumstances, on the allowable uses and disclosures of your PHI. Such restrictions may include prohibitions on disclosure of certain types of PHI or certain persons you do not wish to have access to your PHI. This facility has the right to deny such a request however.

Note that this facility:

  • May use your protected personal health information, without separate consent or authorization from you, for treatment, payment or facility operations in connection with services rendered by us, to you. For example, we may provide your personal health information to your insurance plan, to support our request for reimbursement. We may also disclose your PHI to family members and close friends involved in your care.
  • May be required to disclose your PHI, without your consent or authorization, if required by law. For example, the law requires that certain PHI be disclosed in connection with protection of the public health, for governmental health oversight activities, in response to a valid subpoena or other judicial process, in response to certain law enforcement inquiries, or to lessen a serious and imminent threat to the health or safety of a person or the public.
  • May discuss your treatment with other practitioners or clinicians involved in your care.
  • May contact you to provide appointment/procedure reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to you.

Uses and disclosures other than those specifically referenced above or otherwise allowed by law, will be made only with your written authorization and you may revoke such authorization, in writing, at any time.

Marketing Materials: You will not receive any marketing materials from us, unless we first receive a separate written consent from, executed by you, allowing us to provide you with such information.

Changes to the Notice: This facility may change the terms of this written notice and may make the new notice provisions effective for all protected health information that we maintain. If we do so, we will provide you with a copy of the revised notice at the time of your receipt of health care services from this office, and we will post the notice, with the effective date, in a visible location in this office.

Complaints: You may complain to us and the Secretary of the United States Department of Health and Human Services if you believe your privacy rights have been violated. If you have any questions about this, or wish to file a complaint with this office, you may contact the Office Manager at 200 West Park Circle, Suite A, North Wilkesboro, NC 28659, 336-838-5655 or you may submit a written complaint directed to the same person. You will not be retaliated against in any way, for filing of a complaint.

This facility is required by law to abide by the terms of this notice currently in effect.

You have the right to receive a copy of this notice. If one has not already been provided to you please ask and we will provide one to you.

This effective date of this notice is March 27, 2009.