Midwest Ear, Nose & Throat Specialists, Hearing, Allergy & Asthma, and Facial Plastic Surgery understands that medical information about you and your health is personal. Our team is committed to protecting your medical information or protected health information (PHI). We create a record of the care and services you receive by our team of medical professionals. We need this record to provide your care and to comply with certain legal requirements. This notice applies to all of the records of your care generated by Midwest Hearing Aid Systems.

If you have any questions regarding your protected health information, please contact our business office at (651) 702-0750.

Authorization for Release of Information

Authorization for Share Protected Health Information

Consent to Provide Treatment for a Minor Child

HIPAA Request for Amendment to Records

HIPAA Request for Private Handling of Health Information