Hole Ortho LLC

Appointments are available by request only

(307) 699-6801

For fastest scheduling service call the office

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Patient Notification of Privacy Practices  
By texting you indicate this is  a copy of the Notice of Privacy Practices and understand my rights as a patient of Hole Ortho LLC.  
With my consent, Hole Ortho LLC may use and disclose protected health information (PHI) about 
me to carry out treatment, payment, and healthcare operations and for any other purpose as allowed by or required by law. Hole Ortho LLC reserves the right to revise its Notice of Privacy Practices at any time. I may revoke my consent in writing except to the extent that the practice has already made disclosures in reliance upon my prior consent. A revised Notice of Privacy Practices may be obtained by forwarding a written request to: Privacy Officer at 970 W. Broadway Ste. E121, Jackson, WY 83001.