Services and Specialties

Madison Surgery Center provides an exciting healthcare alternative to patients living in Madison, Huntsville, Decatur and surrounding communities.

Our state-of-the-art center is a Medicare certified and approved facility offering first-class surgical care and technologies. Equipped to the highest specifications, the center is backed by the experience of the finest physicians in the area. Patient care at the Madison Surgery Center is provided by a highly skilled and qualified support staff.

Madison Surgery Center is designed for the comfort, safety and convenience of our adult and pediatric patients. The center consists of four operating rooms and four procedure rooms with state-of-the-art surgical and anesthesia monitoring equipment, including technology specifically designed for children.

Surgical Specialties:

• Bariatrics
• Ear, Nose & Throat
• Opthalmology
• Gastroenterology
• General Surgery
• OB/GYN
• Orthopedic
• Pain Management
• Plastic Surgery
• Urology
• Urogynecology

The physicians of  Comprehensive Anesthesia Services are proud to serve the patients and medical staff of Madison Surgery Center. We realize that surgery can be frightening to many patients and their family members and we make every effort to alleviate anxiety and ensure that your experience at Madison Surgery Center is the best it can be.

Registration Process

At least 3-5 days prior to your scheduled procedure date, please access our website to complete the Patient Medical History Form. A Registered Nurse will review your information and may contact you if we have any questions about the information you’ve provided. If you prefer to give your information over the phone you may contact one of our Pre-Op RNs at 256-772-6014 between the hours of 8 a.m. and 4 p.m. Monday-Friday.

A member of our Business Office staff will contact you by phone to inform you of any financial responsibility and to answer any insurance or financial concerns you may have.  You may also call (256) 319-9000 during business hours with any questions. Our primary goal is to provide you, our patient, with quality healthcare in a friendly, efficient, and cost effective manner.

1. THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
   

   A. This Privacy Notice is being provided to you as a requirement of a federal law, the Health Insurance Portability and Accountability Act (HIPAA). This Privacy Notice describes how we may use and disclose your protected health information to carry out treatment, payment or health care operations and for other purposes that are permitted or required by law. It also describes your rights to access and control your protected health information in some cases. Your "protected health information" means any written and oral health information about you, including demographic data that can be used to identify you. This is health information that is created or received by your health care provider, and that relates to your past, present or future physical or mental health or condition.

2.  Uses and Disclosures of Protected Health Information:

   A. Madison Surgery Center may use your protected health information for purposes of treatment, obtaining payment for treatment, and conducting health care operations. Your protected health information may be used or disclosed only for these purposes unless the facility has obtained your authorization or the use or disclosure is otherwise permitted by the HIPAA privacy regulations or state law. Disclosures of your protected health information for the purposes described in this Privacy Notice may be made in writing, orally, or by facsimile.
   1. Treatment. We will use and disclose your protected health information to provide, coordinate, or manage your health care and any related services. This includes the coordination or management of your health care with a third party for treatment purposes. For example, we may disclose your protected health information to a pharmacy to fill a prescription or to a laboratory to order a blood test. We may also disclose protected health information to physicians who may be treating you or consulting with the facility with respect to your care. In some cases, we may also disclose your protected health information to an outside treatment provider for purposes of the treatment activities of the other provider,
   2. Payment. Your protected health information will be used, as needed, to obtain payment for the services that we provide. This may include certain communications to your health insurance company to get approval for the procedure that we have scheduled. For example, we may need to disclose information to your health insurance company to get prior approval for the surgery. We may also disclose protected health information to your health insurance company to determine whether you are eligible for benefits or whether a particular service is covered under your health plan. In order to get payment for the services we provide to you, we may also need to disclose your protected health information to your health insurance company to demonstrate the medical necessity of the services, or, as required by your insurance company, for utilization review. We may also disclose the patient information to another provider involved in your care for the other provider's payment activities. This may include disclosure of demographic information to anesthesia care providers for payment of their services.
   3. Operation. We may use or disclose your protected health information, as necessary for our own health care operations to facilitate the function of Madison Surgery Center and to provide quality care to all patients. Health care operations include such activities as: quality assessment and improvement activities, employee review activities, training programs including those in which students, trainees, or practitioners, in health care learn under supervision, accreditation, certification, licensing or credentialing activities as, review and auditing, including compliance reviews, medical reviews, legal services and maintaining compliance programs, and business management and general administrative activities.a. In certain situations, we may also disclose patient information to another provider or health plan for their health care operations.
   4. Other Uses and Disclosures. As part of treatment, payment and health care operations, we may also use or disclose your protected health information for the following purposes:a. To remind you of your surgery date.b. To inform you of potential treatment alternatives or options.c. To inform you of health-related benefits or services that may be of interest to you.d. To contact you to raise funds for the facility or an institutional foundation related to the facility.e. If you do not wish to be contacted regarding fundraising, please contact our privacy officer.

3. Uses and Disclosures Beyond Treatment, Payment, and Health Care Operations Permitted Without Authorization or Opportunity to Object:
   A. Federal privacy rules allow us to use or disclose your protected health information without your permission or authorization for a number of reasons including the following:

   1. When Legally Required.We will disclose your protected health information when we are required to do so by any federal, state or local law.
   2. When There are Risks to Public Health.We may disclose your protected health information for the following public activities and purposes:
   a. To prevent, control, or report disease, injury or disability as permitted by law.
   b. To report vital events such as birth or death as permitted or required by law.
   c. To conduct public health surveillance, investigations and interventions as permitted by law.
   d. To collect or report adverse events and product defects, track FDA regulated products enable product recalls, repairs or replacement to the FDA and to conduct post marketing surveillance.
   e. To notify a person who has been exposed to a communicable disease or who may be a risk of contracting or spreading a disease as authorized by law.
   f. To report to an employer, information about an individual who is a member of the workforce as legally permitted or required.
   3. To Report Suspected Abuse, Neglect or Domestic Violence.We may notify government authorities if we believe that a patient is the victim of abuse, neglect or domestic violence. We will make this disclosure only when specifically required or authorized by law or when the patient agrees to the disclosure.
   4. To Conduct Health Oversight Activities.
   a. We may disclose your protected health information to a health oversight agency for activities including audits, civil, administrative, or criminal investigations, proceedings, or actions, inspections, licensure or disciplinary actions, or other activities necessary for appropriate oversight as authorized by law.
   b. We will not disclose your health information under this authority if you are the subject of an investigation and your health information is not directly related to your receipt of health care or public benefits.
   5. In Connection With Judicial and Administrative Proceedings.
   a. We may disclose your protected health information in the course of any judicial or administrative proceeding in response to an order of a court or administrative tribunal as expressly authorized by such order.
   b. In certain circumstances, we may disclose your protected health information in response to a subpoena to the extent authorized by state law if we receive satisfactory assurance that you have been notified of the request or that an effort was made to secure a protective order.
   6. For Law Enforcement Purposes.a. We may disclose your protected health information to law enforcement officials for law enforcement purposes as follows:1. As required by law for reporting of certain types of wounds or other physical injuries.2. Pusuant to court order, court-ordered warrant, subpoena, summons or similar process.3. For the purpose of identifying or locating a suspect, fugitive, material witness or missing person.4. Under certain limited circumstances, when you are the victim of a crime.5. To a law enforcement official if the facility has a suspicion that your health condition was the result of criminal conduct.6. In an emergency to report a crime.
   7. To Coroners, Funeral Directors, and for Organ Donation.
   a. We may disclose protected health information to a coroner or medical examiner for identification purposes, to determine cause of death or for the coroner or medical examiner to perform other duties authorized by law.
   b. We may also disclose protected health information to a funeral director, as authorized by law, in order to permit the funeral director to carry out their duties.
   c. We may disclose such information in reasonable anticipation of death.
   d. Protected health information may be used and disclosed for cadaveric organ, eye or tissue donation purposes.
   8. For Research Purposes.
   a. We may use or disclose your protected health information for research when the use or disclosure for research has been approved by an institutional review board that has reviewed the research proposal and research protocols to address the privacy of your protected health information.
   9. In the Event of a Serious Threat to Health or Safety.
   a. We may, consistent with applicable law and ethical standards of conduct, use or disclose your protected health information if we believe, in good faith, that such use or disclosure is necessary to prevent or lessen a serious and imminent threat to your health or safety or the health and safety of the public.
   10. For Specified Government Functions.
   a. In certain circumstances, federal regulations authorize the facility to use or disclose your protected health information to facilitate specified government functions relating to military and veterans activities, national security and intelligence activities, protective services for the President and others, medical suitability determinations, correctional institutions, and law enforcement custodial situations.
   11. For Worker's Compensation.
   a. The facility may release your health information to comply with worker's compensation laws or similar programs.

4. Uses and Disclosures Permitted without Authorization but with Opportunity to Object:

   A. We may disclose your protected health information to your family member or a close personal friend if it is directly relevant to the person's involvement in your surgery or payment related to your surgery. We can also disclose your information in connection with trying to locate or notify family members or others involved in your care concerning your location, condition or death.
   B. You may object to these disclosures. If you do not object to these disclosures or we can infer from the circumstances that you do not object or we determine, in the exercise of our professional judgment, that it is in your best interest for us to make disclose of information that is directly relevant to the person's involvement with your care, we may disclose your protected health information as described.

5. Uses and Disclosures, which you Authorize.

   A. Other than as stated above, we will not disclose your health information other than with your written authorization.. You may revoke your authorization in writing at any time except to the extent that we have taken action in reliance upon the authorization.

6. Your Rights:

   A. The Right to Inspect and Copy your Protected Health Information.
   1. You have the following right regarding your health information:
   a. You may inspect and obtain a copy of your protected health information that is contained in a designated record set for as long as we maintain the protected health information. A "designated record set" contains medical and billing records and any other records that your surgeon and the facility use for making decisions about you.
   b. Under federal law, however, you may not inspect or copy the following records:
   i. Psychotherapy notes: information compiled in reasonable anticipation of, or for use in, a civil, criminal, or administrative action or proceeding; and protected health information that is subject to a law that prohibits access to protected health information.
   ii. Depending on the circumstances, you may have the right to have a decision to deny access reviewed.
   c. We may deny your request to inspect or copy your protected health information if, in our professional judgment, we determine that the access requested is likely to endanger your life or safety or that of another person, or that it is likely to cause substantial harm to another person reference within the information.
   i. You have the right to request a review of this decision.
   d. To inspect and copy your medical information, you must submit a written request to the Privacy Officer whose contact information is listed on the last page of this Privacy Notice.
   i. If you request a copy of your information, we may charge you a fee for the costs of copying, mailing or other costs incurred by us in complying with your request.
   ii. Please contact our Privacy Officer if you have any questions about access to your medical record.
   B. The Right to Request a Restriction on uses and Disclosures of you Protected Health Information.
   1. You may ask us not to use or disclose certain parts of your protected health information for the purposes of treatment, payment or health care operations.
   2. You may also request that we not disclose your health information to family members or friends who may be involved in your care or for notification purposes as described in this Privacy Notice. Your request must state the specific restriction requested and to whom you want the restriction to apply.
   3. The facility is not required to agree to a restriction that you may request.
   4. We will notify you if we deny your request to a restriction. If the facility does agree to the requested restriction, we may not use or disclosed your protected health information in violation of that restriction unless it is needed to provide emergency treatment.
   5. Under certain circumstances, we may terminate our agreement to a restriction.
   6. You may request a restriction by contacting the Privacy Officer.
   C. The Right to Request to Receive Confidential Communications from us by Alternative Means or at an Alternative Locations.
   1. You have the right to request that we communicate with you in certain ways. We will accommodate reasonable requests. We may condition this accommodation by asking you for information as to how payment will be handled or specification of an alternative address or other method of contact.
   2. We will not require you to provide an explanation for your request. Requests must be made in writing to our Privacy Officer.
   D. The right to Request Amendments to Your Protected Health Information.
   1. You may request an amendment of protected health information about you in a designated record set for as long as we maintain this information.
   2. In certain cases, we may deny your request for an amendment. If we deny your request for amendment, you have the right to file a statement of disagreement with us and we may prepare a rebuttal to your statement and will provide you with a copy of any such rebuttal. Requests for amendment must be in writing and must be directed to our Privacy Officer. In this written request, you must also provide a reason to support the requested amendments.
   E. The Right to Receive an Accounting.
   1. You have the right to request an accounting of certain disclosures of your protect health information made by the facility. This right applies to disclosures for purposes other than treatment, payment or health care operations as described in this Privacy Notice.
   2. We are also not required to account for disclosures that you requested, disclosures that you agreed to by signing an authorization form, disclosures for a facility directory, to friends or family members involved in your care, or certain other disclosures we are permitted to make without your authorization.
   3. the request for an accounting must be made in writing to our Privacy Officer. The request should specify the time period sought for the accounting. We are not required to provide an accounting for disclosures that take place prior to April 14, 2003. Accounting requests may not be made for periods of time in excess of six years.
   4. We will provide the first accounting you request during any 12-month period without charge. Subsequent accountingRequests may be subject to a reasonable cost-based fee.
   F. The Right to Obtain a Paper Copy of This Notice.1. Upon request, we will provide a separate paper copy of this notice even if you have already received a copy of the notice or have agreed to accept this notice electronically.

7. Our Duties:
   A. The facility is required by law to maintain the privacy of your health information and to provide you with this Privacy Notice of our duties and privacy practices. We are required to abide by terms of this Notice as may be amended from time to time.
   B. We reserve the right to change the terms of this Notice and to make the new Notice provisions effective for all future protected health information that we maintain.
   1. If the facility changes its Notice, we will provide a copy of the revised Notice by sending a copy of the revised Notice via regular mail or through in-person contact.
8. Complaints:
   A. You have the right to express complaints to the facility and to the Secretary of Health and Human Services if you believe that your privacy rights have been violated.
   B. You may complain to the facility by contacting the facility's Privacy Officer verbally or in writing, using the contact information below.
   C. We encourage you to express any concerns you may have regarding the privacy of your information. You will not be retaliated against in any way for filing a complaint.
9. Contact Person:
   A. The facility's contact person for all issues regarding patient privacy and your rights under the federal privacy standards is the Privacy Officer.
   B. Information regarding matters covered by this Notice can be requested by contacting the Privacy Officer. If you feel that your privacy rights have been violated by this facility you may submit a complaint to our Privacy Officer by sending it to:
   Madison Surgery Center
   460 Lanier Road
   Madison, AL 35758
   Attn: Privacy Officer
   C. The Privacy Officer can be contacted by telephone at 256-319-9000/fax:256-319-9009
10. Effective Date:
    A. This Notice is effective 8/14/2004

Preparing for Outpatient Surgery

The Madison Surgery Center staff is fully trained and experienced to provide you with quality care during your stay with us. Before the day of your procedure, please complete the online Patient Medical History Form.

We schedule our patients to arrive at MSC one hour prior to their procedure time to enable our staff to complete your preparation for your surgery.

Take time a few days before your scheduled procedure to make special arrangements for:

1. A babysitter. If you have children, ask someone to sit with your children.
2. A family member or friend to accompany you to the center. You must have a responsible adult remain at the facility during your procedure.
3. If the patient is a child, both parents are welcome to accompany the child to the Surgery Center.
4. Please review the Pre-Operative Instruction Sheet and Checklist Before Leaving Home prior to your arrival to aide you in preparing for your procedure.

On the Day of Your Procedure:

Patients are admitted to the Pre-Operative area where you will be cared for by a Registered Nurse. The anesthesiologist will meet with you before surgery to discuss the anesthetic plan.

Visitors:

Please limit the number of family/friends you bring with you to the Center. We allow one visitor 14 years of age or older to wait with the patient prior to your procedure. One visitor over the age of 14 years old will be allowed in the Post-Operative area after the Procedure. If the patient is a child both parents will be allowed in the Pre-Op and Post-Operative areas.

If you have any questions, contact a nurse by calling 256-772-6014 from 7:30 a. m. until 4 p.m.

Post-Operative Information

Following Your Procedure:

Once the procedure is complete, patients go the Post Anesthesia Care Unit (PACU) where monitoring is conducted by skilled Registered Nurses. When ready, patients are offered light liquids and visitors may join you.

Discharge:

Prior to being discharged, each patient and accompanying adult is given instructions on proper follow-up care. A Registered Nurse from Madison Surgery Center will telephone after your surgery to check on your progress.

Your Information. Your Rights. Our Responsibilities.

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Your Rights

When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.

Get an electronic or paper copy of your medical record

• You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this.
• We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.

Ask us to correct your medical record

• You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this.
• We may say “no” to your request, but we’ll tell you why in writing within 60 days.

Request confidential communications

• You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.
• We will say “yes” to all reasonable requests.

Ask us to limit whatwe use or share

• You can ask us not to use or share certain health information for treatment, payment, or our operations.
• We are not required to agree to your request, and we may say “no” if it would affect your care.
• If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer.
• We will say “yes” unless a law requires us to share that information.

Get a list of those with whom we’ve shared information

• You can ask for a list (accounting) of the times we’ve shared your health information for six years prior to the date you ask, who we shared it with, and why.
• We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We’ll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.

Get a copy of this privacy notice

• You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.

Choose someone to act for you

• If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
• We will make sure the person has this authority and can act for you before we take any action.

File a complaint if you feel your rights are violated

• You can complain if you feel we have violated your rights by contacting us using the information on page 1.
• You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/.
• We will not retaliate against you for filing a complaint.

Your Choices

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions. In these cases, you have both the right and choice to tell us to:

• Share information with your family, close friends, or others involved in your care
• Share information in a disaster relief situation
• Include your information in a hospital directory
• Contact you for fundraising efforts

If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.

• Marketing purposes unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.

In these cases we never share your information unless you give us written permission:

• Marketing purposes
• Sale of your information
• Most sharing of psychotherapy notes

In the case of fundraising:

• We may contact you for fundraising efforts, but you can tell us not to contact you again.

Our Uses and Disclosures

How do we typically use or share your health information? We typically use or share your health information in the following ways.

Treat you

• We can use your health information and share it with other professionals who are treating you. 
  Example: A doctor treating you for an injury asks another doctor about your overall health condition.

Run our organization

• We can use and share your health information to run our practice, improve your care, and contact you when necessary.
  Example: We use health information about you to manage your treatment and services.

Bill for your services

• We can use and share your health information to bill and get payment from health plans or other entities.
  Example: We give information about you to your health insurance plan so it will pay for your services.

How else can we use or share your health information? We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html.

Help with public health and safety issues

• We can share health information about you for certain situations such as:
• Preventing disease
• Helping with product recalls
• Reporting adverse reactions to medications
• Reporting suspected abuse, neglect, or domestic violence
• Preventing or reducing a serious threat to anyone’s health or safety

Do research

• We can use or share your information for health research.

Comply with the law

• We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.

Respond to organ and tissue donation requests

• We can share health information about you with organ procurement organizations.

Work with a medical examiner or funeral director

• We can share health information with a coroner, medical examiner, or funeral director when an individual dies.

Address workers’ compensation, law enforcement, and other government requests

• We can use or share health information about you:
• For workers’ compensation claims
• For law enforcement purposes or with a law enforcement official
• With health oversight agencies for activities authorized by law
• For special government functions such as military, national security, and presidential protective services

Respond to lawsuits and legal actions

• We can share health information about you in response to a court or administrative order, or in response to a subpoena.

Our Responsibilities

• We are required by law to maintain the privacy and security of your protected health information.
• We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
• We must follow the duties and privacy practices described in this notice and give you a copy of it.
• We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.

For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.

Changes to the Terms of This Notice:

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our web site.


This Notice of Privacy Practices applies to the following organizations. Effective date of notice: September 2013

Madison Surgery Center, LLC
460 Lanier Road
Madison, AL 35758
256-319-9000
madisonsurgerycenter.com

Privacy Officer Contact Info:
Mary Ann Kelly, RN Administrator
256-319-9000

Spanish version of Patient's Rights document (pdf)

Patient Satisfaction Survey

We would like to know how you feel about the services we provided for you at Madison Surgery Center so we can make sure we are meeting your needs. Your opinion matters to us and your responses are directly responsible for improving these services. All responses will be kept confidential and anonymous. Thank you for your time.

Madison Surgery Center Patient Satisfaction Survey (secure)

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Curabitur rhoncus ipsum ut elit imperdiet dapibus. Etiam eros quam, mattis at imperdiet sed, consequat eu mi. Phasellus ut ipsum risus. In hac habitasse platea dictumst. Nulla porta est nec massa semper quis fermentum elit ultricies. Vestibulum quis tellus vitae neque facilisis tincidunt. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vivamus facilisis diam et nulla sagittis vitae fringilla neque molestie. Aenean et arcu mauris, eu lobortis metus. Nulla a odio nibh, sit amet sollicitudin orci. Integer sem ante, faucibus sit amet facilisis sagittis, malesuada in justo. Maecenas sed leo eu nibh pharetra pulvinar nec in metus. Integer dignissim, arcu dictum accumsan tincidunt, libero sem porttitor mauris, eget molestie turpis metus eget purus.

Mauris eget ligula id ante vehicula semper. Sed et interdum sem. Mauris vitae dolor est, a mollis velit. Suspendisse imperdiet augue non quam tincidunt egestas. Morbi fringilla, lacus a interdum interdum, nibh turpis vulputate diam, sed gravida dui ligula eget est. Sed imperdiet ultrices est a vestibulum. Pellentesque cursus semper rutrum. Pellentesque ut erat in velit hendrerit venenatis nec quis nibh. Ut turpis elit, blandit eu condimentum id, congue eget dui. Quisque nec cursus est. Morbi nec ligula ut orci pellentesque fringilla et vitae nibh. Aenean luctus auctor varius. Aliquam ut risus urna. Suspendisse potenti. Nullam tortor eros, varius sit amet lacinia a, pharetra nec nisi.

Quisque a eros sit amet ante accumsan euismod et non ligula. Praesent nec urna quam, ac sodales tellus. In cursus dolor eget diam sodales at consectetur nulla sollicitudin. Curabitur aliquet quam id nisi commodo tincidunt. Cras nec nibh in nibh porttitor feugiat. Nunc tincidunt dignissim accumsan. Pellentesque a nisl libero, a suscipit est. In fringilla nibh ut ante vehicula rutrum congue erat mollis. Donec sodales sapien a felis suscipit ut bibendum leo facilisis. Etiam mattis, nisl sed pharetra malesuada, est sapien eleifend neque, ut condimentum eros nisi quis nibh. Aenean sed porttitor sapien.

Aenean nec laoreet est. Praesent eu quam nisi, quis elementum orci. Vivamus lobortis egestas nibh quis congue. Sed posuere, metus id condimentum condimentum, nisi felis sagittis nisl, sed ornare ipsum nunc ut nulla. Phasellus non justo at nunc aliquam faucibus ut eu eros. Morbi quis dui sem. Pellentesque iaculis lorem risus. Suspendisse potenti. Integer vitae quam eget est tincidunt sollicitudin. Vestibulum nec diam in ligula blandit condimentum vitae ut dolor. Quisque congue dolor id ante rutrum elementum.

Vivamus eu diam sed dui porttitor dictum quis nec dui. In ut malesuada eros. Praesent vel ipsum ligula, in gravida dolor. Sed blandit consectetur sollicitudin. Ut quis dui sed odio scelerisque laoreet nec a metus. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nullam tempus, mi vitae vestibulum pharetra, tellus urna tristique libero, vel feugiat magna quam ut tortor. Donec sit amet viverra sapien. Vivamus vel massa vel risus pharetra tempor quis sed quam. Sed id consectetur lectus. Aenean non metus est, ut sodales lectus. Ut tempor ultricies rutrum. Nunc eu justo magna. Integer at bibendum felis. Integer sit amet lacus odio. Duis congue congue commodo.