Why do we have a privacy policy?
The Federal government legally enforces the importance of the privacy of health information largely in response to the rapid evolution of computer technology and its use in healthcare. The government has appropriately sought to standardize and protect the privacy of the electronic exchange of you health information. This has challenged us to review not only how your health information is used within our computers but also with the Internet, phone, faxes, copy machines, and charts. We believe this has been an important exercise for us because it has disciplined us to put in writing the policies and procedures we follow to protect your health information when we use it.
We want you to know about these policies and procedures which we developed to make sure your health information will not be shared with anyone who does not require it. Our office is subject to State and Federal law regarding the confidentiality of your health information in keeping with these laws, we want you to understand our procedures and your rights as our valuable patient.
How Your Health Records May be Used to Provide Treatment
We will use and communicate you HEALTH INFORMATION only for the purposes of providing your treatment, obtaining payment and conducting health care operations, and as otherwise described in this notice.
To Obtain Payment
We may include your health information with an invoice used to collect payment for treatment you receive in our office. We may do this with insurance forms filed for you in the mail or sent electronically. We will be sure to only work with companies with a similar commitment to the security of your health information.
To Conduct Health Care Operations
Your health information may be used during performance evaluations of our staff. Some of our best teaching opportunities use clinical situations experienced by patients receiving care at our office. As a result, health information may be included in training programs for students, interns, associates, and business and clinical employees. It is also possible that health information will be disclosed during audits by insurance companies or government appointed agencies as part of their quality assurance and compliance reviews. Your health information may be reviewed during the routine processes of certification, licensing or credentialing activities.
In Patient Reminders
Because we believe regular care is very important to your vision and general health, we will remind you of a scheduled appointment or that it is time for you to contact us and make an appointment. Additionally, we may contact you to follow up on your care and inform you of treatment options or services that may be of interest to you or your family. These communications are an important part of our philosophy of partnering with our patients to be sure they receive the best preventive and restorative care modern healthcare can provide. They may include postcards, folding postcards, letters, telephone reminders or electronic reminders such as email or text message (unless you tell us that you do not want to receive these reminders)>
To Business Associates
We may have contracted with third parties(referred to as a business associate) to use and disclose your health information to perform services for us, such as billing services. We will obtain each business associates written agreement to safeguard your health information.
Patient Rights
Your have the following rights related to your health information.
Restrictions
You have the right to request restrictions on the use or disclosure of your health information for treatment, payment, or health care operations in addition to the Patient Acknowledgement restrictions imposed by federal law. Our office is not required to agree to your requests. We generally are not required to agree to a requested restriction. Our office will honor your request that we not disclose your health information to a health plan for payment or healthcare operation purposes if the health information related solely to a health care item or service for which you have paid us out of pocket in full.
Confidential Communications
You have the right to request that we communicate with you by alternative means or at an alternative location. You may, for example, request that we communicate your health information privately with no other family members present or through mailed communications that are sealed. We will honor your reasonable requests for confidential communications.
Inspect and Copy Your Health Information
Your have the right to read, review and copy your health information including your complete chart, x rays, and billing records. If you would like a copy of your health information, please let us know. We may need to charge you a reasonable, cost-based fee to duplicate and assemble your copy. If there will be a charge, we will first contact you to determine whether you wish to modify or withdraw your request.
Amend Your Health Information
You have the right to ask us to update or modify your records if you believe your health information records are incorrect or incomplete. We will be happy to accommodate you as long as our office maintains this information. In order to standardize our process, please provide us with your request in writing and describe the information to be changed and your reason for the change. Your request may be denied if the health information record in question was not created by our office, is not part of our records or if the records containing your health information are determined to be accurate and complete. If we deny your request, we will provide you with a written explanation of the denial.
Accounting of Disclosures of your Health Information
You have the right to ask us for a description of how and where your health information was disclosed. Our documentation procedures will enable us to provide information on health information disclosures that we are required to disclose to you. Please let us know in writing the time period for which you are interested. Thank you for limiting your request to no more than six years at a time. We will provide the first accounting during any 12 month period. If there will be a charge, the Privacy Official will first contact you to determine whether you wish to modify or withdraw your request.
Request a Paper Copy of this Notice
You have the right to obtain a copy of this Notice of Privacy Practices directly from our office at any time. Stop by or give us a call and well mail or email a copy to you.
We are required by law to maintain the privacy of your health information and to provide to you or your personal representative with the Notice or our Privacy Practices. We are required to practice the policies and procedures described in this notice but we do reserve the right to change the terms of our Notice. If we change our privacy practices we will be sure all of our patients receive a copy of the revised Notice when requested. You have the right to express complaints to us or to the Secretary of Health and Human Services if you believe your privacy rights have been compromised. We encourage you to express any concerns you may have regarding the privacy of your information. We will not retaliate against you for submitting a complaint. Please let us know of your concerns or complaints in writing by submitted your complaint to our Privacy Officer.
As Required by Law
We may use or disclose your health information as required by any statute, regulation, court order or other mandate enforceable in a court of law.
Abuse or Neglect
We may disclose your health information to the responsible government agency if (a) the Privacy Official reasonable believe that you are a victim of abuse, neglect, or domestic violence, and (b) we are required or permitted by law to make the disclosure. We will promptly inform you that such a disclosure has been made unless the Privacy Official determines that informing you would not be in your best interests.
Public Health and National Security
We may be required to disclose to tFederal officials or military authorities health information necessary to complete an investigation related to public health or national security. Health information could be important when the government believes that the public government believes that the public safety could benefit when the information could lead to the control or prevention of an epidemic or the understanding of new side effects of a drug treatment or medical device.
For Law Enforcement
As permitted or required by State or Federal law, we may disclose your health information to a law enforcement official for certain law enforcement purposes, including, under certain limited circumstances, if you are a victim of a crime or in order to report a crime.
Family, Friends, & Caregivers
We may share your health information with those you tell us will be helping you with your home hygiene, treatment, medications, or payment. We will be sure to ask your permission first. In the case of an emergency, where you are unable to tell us what you want, we will use our best judgement when sharing your health information only when it will be important to those participating in providing your care.
Workers Compensation Purposes
We may disclose your health information as required or permitted by State or Federal Workers compensation laws.
Judicial and Administrative Proceeding
We may disclose your health information in an administrative or judicial proceeding in response to a subpoena or a request to produce documents. We will disclose your health information in these circumstances only if the requested party first provides written documentation that the privacy of your health information will be protected. Incidental Uses and Disclosures . We may use or disclose your health information in a manner which indental to the uses and disclosures described in this Notice.
Health Oversight Activities
We may disclose your health information to a government agency responsible for overseeing the health care system or health-related government benefit program. To Avert a Serious threat to Health or Safety. We may use or disclose your health information to reduce the risk of serious and imminent harm to another person or to the public.
To the U.S. Department of Health and Human Services (HHS)
We may disclose your health information to HHS, the government agency responsible for overseeing compliance with federal privacy laws and regulations regulating the privacy and security of health information.
In Connection with your Death or Organ Donation
We may disclose your health information to a coroner for identification purposes, to a funeral director for funeral purposes, or to an organ procurement organization to facilitate transplantation of one of your organs. If applicable state law does not permit the disclosure described above we will comply with the stricter State Law.

