The Health Insurance Portability and Accountability Act of 1996 (HIPAA) provides regulations to ensure the privacy of your health information. As part of the important protections provided by this law, you are given a form to sign when you seek health care services. The form below explains and acknowledges your understanding of this office’s privacy practices in regard to your health information.We can assure you that we will always abide by any current federal and state laws to maintain the privacy of your health
information. If you have any questions, please feel free to contact the office where you will see Dr. Laudenbach.

The above form is a PDF file. If you can’t open it or do not have Acrobat Reader installed on your computer, please click here for a free download.