Privacy Policy

Protecting the Confidentiality of Our Patients Personal Medical Information

Laurel Surgery and Endoscopy Center Privacy Protection: Our Commitment to You

At Laurel Surgery & Endoscopy Center, we recognize the sensitive nature of your personal medical information, and take every precaution to protect your privacy. When you entrust us with this information, you can be certain it will be used only within our strict guidelines.

We've prepared this information to explain what types of information we collect, and under what circumstances we may share it.

We hope you will read through all the details of Laurel Surgery & Endoscopy Center's official position on privacy. Importantly, we want you to understand that Laurel Surgery & Endoscopy Center uses information responsibly and in order to:

  • Provide you with the health care services you've requested
  • File your health care claim with your insurance company
  • Make having your procedure at the Laurel Surgery and Endoscopy Center more convenient and efficient for you

In no case do we provide account or personal medical information to any other companies for the purpose of independent telemarketing or direct mail marketing of any types of products or services.

The Kinds of Information We Collect
When your physician registers you for a procedure at the Laurel Surgery and Endoscopy Center, we ask the office to provide us with information in order to accurately file your insurance claim. The following information is requested:

  • Name and address
  • Telephone number, home and work
  • Social Security Number
  • Race
  • Birth date
  • Sex
  • Marital status
  • Guarantor
  • Demographic information
  • Insurance carrier name and address
  • Insurance ID and group number
  • Scheduled procedure
  • Patient's history and physical

How We Use This Information
Most of the information we collect is used for only one purpose; to help us deliver the health care services you've requested accurately and efficiently.

Who Has Access to This Information?
Within Laurel Surgery and Endoscopy Center:
Laurel Surgery and Endoscopy Center employees are permitted access to the information they need to perform their jobs on your behalf. We maintain strict internal policies against unauthorized disclosure or use of personal medical information by employees.

Outside service providers:
We have arrangements with companies whose experience is essential for our own services to operate properly. For example, we work with companies that perform pathology, laboratory, pharmacy, management, and medical transcription services. Other companies prepare our financial statements, enable online claims submission, and make banking transactions. These firms perform their functions at Laurel Surgery and Endoscopy Center's directions and, as permitted by law, we share patient information necessary to perform these functions with them. As with all our business partners, these companies are required to safeguard your information and use it only for authorized purposes.

Courts and government bodies:
Certain federal and state laws may require us to share information about you. For example, if you are involved in a legal matter with a third party, we may be ordered to provide information to a court or other party. In these circumstances, only the specific information required by law, subpoena, or court order will be shared. The State of Mississippi also requires us, by law, to submit personal medical information for their Ambulatory Patient Data Report.

New Patient Rights are on the way for the first time ever, the federal government passed comprehensive privacy regulations for health information. This new federal regulation establishes standards for most health care providers and payers in the protection of health information and established new patient rights.

The new privacy regulations are part of the Health Insurance Portability and Accountability Act (HIPAA), passed by Congress in 1996. The privacy rules became effective in April 2001, and gave health care providers two years to comply.

At Laurel Surgery and Endoscopy Center, we have always protected our patients privacy and the new rule amounts to informing our patients about the HIPAA regulations.

What Rights Do Patients Have?
Patients at the Laurel Surgery and Endoscopy Center have the right to:

  • Access or inspect their medical record
  • Obtain a copy of their medical record
  • Access and copying for as long as information is retained (seven years for adults and seven years after minors become adults)
  • Request an amendment to their medical record
  • Request a list of when and where their confidential information was released within the past six years (may not include information released for care and treatment purposes, for payment, or when used for internal quality assurance purposes)
  • Request an organization to restrict the use and disclosure of their confidential information (can request restriction in use of information for treatment, payment, or healthcare operation purposes, however, we can choose if we will honor the request)
  • Request to receive communication by alternative means or locations (such as leaving messages at work instead of at home)
  • File a complaint to the following if you believe your privacy rights were violated:
    - The Laurel Surgery and Endoscopy Center, Privacy Officer
    - The Secretary of the Department of Health and Human Services, Tommy G. Thompson
         - 200 Independence Avenue, S.W. Washington, D.C. 20201
         - (202) 619-0257 Toll Free: 1-877-696-6775
         - E-mail:
  • Receive a notice of Laurel Surgery and Endoscopy Center privacy practices (this web site page)

Laurel Surgery and Endoscopy Center is Committed to Protecting Your Privacy
The health information professionals at the Laurel Surgery and Endoscopy Center have been trained to manage many of the systems required by HIPAA. Professionally, we are bound by a code of ethics to promote and protect the confidentiality and security of your medical records and health information. Our goal is to have patients trust that their medical records and confidential information will remain private. Our health information professionals are committed to maintaining privacy and quality of care.

Want to get a head start on your appointment?

If so, please take a moment to download the pre-registration packet below. You may print these forms and fill them out to get a head start. Ensure all the information you write is correct, and have your completed forms with you when you arrive. If you need assistance, don’t hesitate to ask. Just send us a message through our Contact Form, or call us at 601-369-2021.