Privacy Notice
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.
We respect the privacy of your health information and have a legal obligation to keep it private.
We are obligated by law to give you notice of our privacy practices. This Notice describes how
We protect your health information and what rights you have regarding it.
TREATMENT, PAYMENT, AND HEALTH CARE OPERATIONS
The most common reason why we use or disclose your health information is for further treatment,
payment or health care operations. Examples of how we use or disclose information for treatment
purposes are: examining your eyes prescribing glasses, contact lenses, or eye medications.
We will not make any other disclosure of your health information unless you sign a written authorization form. If we initiate the process and ask you to sign an authorization form, you do not have to sign it. If you do not sign the form, we cannot make the disclosure. If you do sign one, you may revoke it at any time unless you have already acted in reliance upon it. Revocations must be in writing.
YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION
The law gives you many rights regarding your health information. You can: Ask us to restrict our uses and disclosures for purposed of treatment, payment or health care operations. Ask us to communicate with you in a confidential way. Ask to see or to get photocopies of your health information. Ask us to amend your health information if you think that it is incorrect or incomplete. Get a list of the disclosures that we have made of your health information within the past 6 years.
COMPLAINTS
If you think that we have not properly respected the privacy of your health information, you are
free to complain to us or the U.S. Department of Health and Human Services, Office for Civil Rights. We will not retaliate against you if you make a complaint. If you want to complain to us, send a written complaint to our office ATTN: Colleen Price. If you prefer, you can discuss your complaint in person or by phone.
We respect the privacy of your health information and have a legal obligation to keep it private.
We are obligated by law to give you notice of our privacy practices. This Notice describes how
We protect your health information and what rights you have regarding it.
TREATMENT, PAYMENT, AND HEALTH CARE OPERATIONS
The most common reason why we use or disclose your health information is for further treatment,
payment or health care operations. Examples of how we use or disclose information for treatment
purposes are: examining your eyes prescribing glasses, contact lenses, or eye medications.
We will not make any other disclosure of your health information unless you sign a written authorization form. If we initiate the process and ask you to sign an authorization form, you do not have to sign it. If you do not sign the form, we cannot make the disclosure. If you do sign one, you may revoke it at any time unless you have already acted in reliance upon it. Revocations must be in writing.
YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION
The law gives you many rights regarding your health information. You can: Ask us to restrict our uses and disclosures for purposed of treatment, payment or health care operations. Ask us to communicate with you in a confidential way. Ask to see or to get photocopies of your health information. Ask us to amend your health information if you think that it is incorrect or incomplete. Get a list of the disclosures that we have made of your health information within the past 6 years.
COMPLAINTS
If you think that we have not properly respected the privacy of your health information, you are
free to complain to us or the U.S. Department of Health and Human Services, Office for Civil Rights. We will not retaliate against you if you make a complaint. If you want to complain to us, send a written complaint to our office ATTN: Colleen Price. If you prefer, you can discuss your complaint in person or by phone.
