Privacy and Security of Your Health Information

Part of our commitment to caring for you is making sure your health information is secure. We make it a priority to treat your medical information in confidence while adhering to federal regulations regarding the use and protection of medical and health information.

Notice of Privacy Practice

At your first appointment, you will receive a copy of the Mayo Clinic Notice of Privacy Practices. You will also be asked to sign a form acknowledging the fact that you received it. The acknowledgement form is required per federal regulations. Signing the form only means that you have received the notice, and in no way affects the care you will receive at Mayo Clinic Health System – Franciscan Healthcare.

If you have any questions about the privacy notice or acknowledgement form, please contact the Privacy Officer at 608-392-3968.

Release of Health Information

In order to share your information with another health care provider or system or with another individual - such as a family member - who you wish to assist with your care. You will need to complete the Release of Health Information form.  



Leah in Compliance“As part of our culture of respect, we understand your right to privacy as one of our patients. This privacy not only encompasses our relationship and interaction with you while at one of our facilities for care, but also the information we collect and keep for you as part of your care.”
– Leah Mudler, Privacy Officer