Confidentiality

Information regarding your medical condition and treatment is confidential and will not be released without written authorization by you.

HIPAA Privacy Statement

Jefferson Surgical Clinic is required to:

  • Maintain the privacy of your health information.
  • Provide you with this notice as to our legal duties and privacy practices with respect to information we collect and maintain about you.
  • Abide by the terms of this notice.
  • Notify you if we are unable to agree to a requested restriction.
  • Accommodate reasonable requests you may have to communicate health information by alternative means or at alternative locations.

Privacy Documents and Forms

For your convenience, we provide a PDF version of the Acknowledgement of Receipt of Privacy Notice form on our website and in our patient packets. You may print it, sign it and bring it with you when you visit Jefferson Surgical Clinic. Signing this document means that you’ve read and understand our Notice of Privacy Policy.