The information that will be accessed beyond this point is privileged and confidential and/or protected health information (PHI) and may be subject to protection under the law, including the Health Insurance Portability and Accountability Act of 1996, as amended (HIPAA). This information is intended for the sole use of the patient or authorized party. If you are not the patient, legal guardian or have express consent, you are notified that any use, viewing, dissemination, distribution, printing or copying of this information is strictly prohibited and may subject you to criminal or civil penalties. Access should not be attempted or accepted beyond this point if these requirements are not met and acknowledged.

You consent to receive disclosures from us electronically through this web site, by email, or by text message. By consenting to the electronic delivery of disclosures, you agree that we may provide electronically any and all communications concerning any payments you make to us or any payment plan agreements you enter into with us now or in the future, including disclosures required by state or federal law (the "Disclosures"). To electronically receive and view and electronically save or print the Disclosures, you must have: a personal computer or device with Internet access; a widely-used, recent-generation web browser; a widely-used, recent-generation portable document file reader; the email address you have provided us (or a new email address you subsequently provide us); and a printer, hard drive or other storage device. If the information you have supplied us for contacting you electronically changes, please notify us of your new contact information. You may withdraw your consent to receipt of electronic disclosures by calling 620-885-3045. Any such request will only be effective as to communications we send after the date of withdrawal. If you withdraw your consent, you may no longer be eligible for certain services we only offer electronically and you will not be able to receive disclosures from us electronically or do business with us electronically. You have the option to receive any information that we have provided electronically in paper form at no cost to you by calling us at 620-885-3045.