Office Hours

  • Monday 7:00 a.m. – 5:30 p.m.
  • Tuesday 8:00 a.m. – 5:00 p.m.
  • Wednesday 7:00 a.m. – 5:30 p.m.
  • Thursday 8:00 a.m. – 5:00 p.m.
  • Friday 8:00 a.m. – 12:00 p.m.
  • Saturday Closed
  • Sunday Closed


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Creative Studio 99, New York Avenue, New York, USA 10000
Phone: (+1) 555-500-9898
Fax: (+1) 555-555-9797
Email: info@haircut.domain
Web: www.haircut.com

Business Associate Agreement

Home / Business Associate Agreement

As a Business Associate of MidAmerica Plastic Surgery, you are required to complete our Business Associate Agreement. Use the link below to download the Business Associate Agreement in PDF format.

Download Business Associate Agreement in PDF Format

After completing the form, please return signed form:

via Fax:
618-288-7866

via Mail:
MidAmerica Plastic Surgery
Attn: Privacy Officer
6812 State Route 162
Suite 21
Maryville, IL 62062