PRIVACY PRACTICES

This is to inform you that Evans, Piggott and Finney Eye Care may use and disclose your health information that identifies you, and that consists of your past, present and future physical or mental health or condition, the provision of your health care; and the past, present and future payment for the provision of your health care (this information is referred to herein as "Protected Health Information").

The use and disclosure of you Protected Health Information will be to carry out treatment, payment and health care operations of Evans, Piggott and Finney Eye Care.

For a more complete description of how Evans, Piggott and Finney Eye Care may use and disclose your Protected Health Information, please contact our office for a complete disclosure statement. The terms of the Notice of Privacy Practices, please contact:
 
Evans, Piggott and Finney Eye Care
3829 Union St.
Lafayette, In 47905
765-447-4951