Privacy Statement

I have had full opportunity to read and consider the contents of  the Notice of Privacy Practices.  I understand that I am giving my permission to gather, use and disclose my child's protected health information in order to carry out treatment, payment activities, healthcare operations.  I give my consent to Dr. Douglas E. LaDue III to take a chart photo of my child.  I also understand that I have the right to revoke permission. 

Notice of Privacy

Please refer to the links below for additional information with regards to our Privacy Statement.