In 1996, Congress passed the Health Insurance Portability and Accountability Act (HIPAA) to address multiple healthcare issues including the privacy and security of your health information.

Protected health information is the information we create and obtain in providing our services to you.

As required by HIPAA, it's our policy to provide you with a copy of our "Notice of Privacy Practices" at your initial office visit. We must also ask that you sign an acknowledgement of receipt of this notice. You can download a copy of our most current notice by clicking the link below.

In addition, this HIPAA requirement makes it necessary for us to verify your legal relationship to the patient when you accompany an incompetent adult or minor child (18 years or younger) to the first office visit.

Please bring with you a copy of the court order that shows your appointment as one of the following:

   Legal guardian
   Legal custodian
   Durable power of attorney for healthcare


Please visit for more information.  Easy to understand videos regarding patient rights under HIPAA are available in both English and Spanish at


Mid-South Surgeons
1222 Trotwood Avenue, Suite 211 | Columbia, TN 38401 | (931) 380-3033