Lincoln Park Institute

Mobile Menu Button

Oral, Facial and Cosmetic Surgery - HIPAA/Privacy

This form, Notice of Privacy Practices, presents the information that federal law requires us to give our patients regarding our privacy practices.

Please download and print this form. Sign it and bring it in to our office when you visit. If you have any questions regarding the forms, please feel free to contact us.

Note: In order to view our form(s) you must have Adobe Reader installed, if you do not, please click here to download a copy. Follow the instructions to install, then download and print the form.