Privacy Notice
Notice of Privacy Practices
THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION
THE PRIVACY OF YOUR INFORMATION IS IMPORTANT TO US
OUR LEGAL DUTY
We are required by applicable federal and state law to maintain the privacy of your health information. We are also required to give you this notice about our privacy practices, our legal duties, and you rights concerning your health information. We must follow the privacy practices that are described in this notice while it is in effect. This notice takes effect on April 14, 2003, and will remain in effect until we replace it.
We reserve the right to change our privacy practices, and the terms of this notice, at any time, provided applicable law permits such changes. We reserve the right to make the changes in out privacy practices and the new terms of our notice effective for all health information that we maintain, including health information we created or received before we made the changes. In the event we make a material change in our privacy practices, we will change this notice and provide it to you.
You may request a copy of privacy notice at any time. For more information, please contact us.
USES AND DISCLOSURES OF HEALTH INFORMATION
We use and disclose health information about you for treatment, payment, and healthcare operations. For example:
Treatment: We may use or disclose your health information to an optician, optometrist, ophthalmologist or other healthcare provider providing treatment to you for (a) the provision coordination, or management of health care and related services by health care providers (b) consultation between healthcare providers relating to a patient (c) the referral of a patient from one health care provider to another or (d) recall information.
Payment: We may use and disclose your health information to obtain payment for services we provide to you. This may include: (a) billing and collection activities and related data processing (b) actions by a health plan or insurer to obtain premiums or to determine or fulfill its responsibilities for coverage and provision of benefits under its health plan or insurance agreement, determinations of eligibility or coverage, adjudication or subrogation of health benefit claims (c) medical necessity and appropriateness of care reviews, utilization review activities and (d) disclosure to consumer reporting agencies of information relating to collection of premiums or reimbursement.
Healthcare Operations: We may use and disclose your health information in connection with our healthcare operations. Healthcare operations could include quality assessment and improvement activities reviewing the competence or qualifications of healthcare professionals, evaluating practitioner and provider performance, conducting training programs, accreditation, certification, licensing, or credentialing activities.
Your Authorization: In addition to our use of you health information for treatment, payment, or healthcare operations, you may give us written authorization to use your health information or to disclose it to anyone for any purpose. If you give us authorization, you may revoke it in writing at any time. Your revocation will not affect any use or disclosures permitted by your authorization while it was in effect. Unless you give us a written you give us a written authorization, we cannot use or disclose your health information for any reason except those described in this notice.
Marketing Products or Surveys: We will not use your health information for marketing communications without your prior written authorization. We may provide you with information regarding products or services that we offer related to your healthcare needs. We will never sell your health information without your prior authorization.
To You, Your Family, and Friends: We must disclose your health information to you, as described in the Patient Rights section of this notice. We may disclose your health information to a family member, friend, or other person to the extent necessary to help with your healthcare or payment for your healthcare, if you agree that we may do so, or if you are not able to agree, if it is necessary in our professional judgment.
Person Involved in Care: EW may use or disclose health information to notify, or assist in the notification of (including identifying or locating) a family member, your personal representative or another person responsible for your care, of your location, your general condition, or death. If you are present, the prior to use or disclosure of your health information, we will provide you with an opportunity to object to such uses or disclosures. In the event of your incapacity or emergency circumstances, we will disclose health information based on determination using our professional judgment disclosing only health information that is directly relevant to the person?s involvement in your healthcare. We will also use our professional judgment and our experience with common practice to make reasonable inferences of your best interest in allowing a person to pick up filled prescriptions, medical supplies, x-rays, or other similar forms of health information.
Required by Law: We may use or disclose your health information when we are required to do so by law, including judicial and administrative proceedings.
Abuse or Neglect: We may disclose your health information to appropriate authorities if we reasonably believe that you are the possible victim of abuse, neglect, or domestic violence, or the possible victim of other crimes. We may disclose your health information to the extent necessary to avert a serious threat to your health or safety, or the health or safety of others.
National Security: We may disclose to military authorities the health information of Armed Forces personnel under certain circumstances. We may disclose to authorized federal officials health information required for lawful intelligence, counterintelligence, and other nation security activities. We may disclose to correctional institutions or law enforcement officials having lawful custody of protected health information of an inmate or patient under certain circumstances.
Appointment Reminders and Treatment Alternatives: We may use or disclose your health information to provide you with appointment reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to you.
PATIENT RIGHTS
Access: your have the right to review or get copies of your health information with limited exceptions. You may request that we provide copies in a format other that photocopies. We will use the format you request unless we cannot practicably do so. You must make a request to obtain access to your health information. You may obtain a form request by contacting us. We will charge you a reasonable cost-based fee for expenses such as copies and staff time. If you request an alternate format, we will charge you a cost-based fee for providing your health information in that format. If you prefer, we will prepare a summary or explanation if your health information for a fee.
Disclosure Accounting: You have a right to receive a list if instances in which we, or our business associates, disclosed your health information for purposes other that treatment, payment, or healthcare operations, where you have provided an authorization and certain other activities. For the last 6 years, but not for disclosure prior to April 14, 2003. If you request this accounting more than once in a 12-month period, we may charge you a reasonable cost-based fee for responding to these additional requests.
Restriction: You have the right to request that we place additional restrictions on our use of your health information. We are not required to agree to these additional restrictions, but if we do, we will abide by our agreement (except in an emergency).
Alternative Communication: You have the right to request in writing that we communicate with you about your health information by alternate means or alternative locations. Your request must specify the alternative means or location, and provide a satisfactory explanation how payments will be handled under the alternative means or location you request.
Amendment: You have the right to request that we amend your health information. Your request must be in writing, and it must explain why the information should be amended. We may deny your request under certain circumstances.
Electronic Notice: If you receive that notice on our website or by e-mail, you are entitled to a written copy.
If you want more information about our privacy practices please contact us.
THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION
THE PRIVACY OF YOUR INFORMATION IS IMPORTANT TO US
OUR LEGAL DUTY
We are required by applicable federal and state law to maintain the privacy of your health information. We are also required to give you this notice about our privacy practices, our legal duties, and you rights concerning your health information. We must follow the privacy practices that are described in this notice while it is in effect. This notice takes effect on April 14, 2003, and will remain in effect until we replace it.
We reserve the right to change our privacy practices, and the terms of this notice, at any time, provided applicable law permits such changes. We reserve the right to make the changes in out privacy practices and the new terms of our notice effective for all health information that we maintain, including health information we created or received before we made the changes. In the event we make a material change in our privacy practices, we will change this notice and provide it to you.
You may request a copy of privacy notice at any time. For more information, please contact us.
USES AND DISCLOSURES OF HEALTH INFORMATION
We use and disclose health information about you for treatment, payment, and healthcare operations. For example:
Treatment: We may use or disclose your health information to an optician, optometrist, ophthalmologist or other healthcare provider providing treatment to you for (a) the provision coordination, or management of health care and related services by health care providers (b) consultation between healthcare providers relating to a patient (c) the referral of a patient from one health care provider to another or (d) recall information.
Payment: We may use and disclose your health information to obtain payment for services we provide to you. This may include: (a) billing and collection activities and related data processing (b) actions by a health plan or insurer to obtain premiums or to determine or fulfill its responsibilities for coverage and provision of benefits under its health plan or insurance agreement, determinations of eligibility or coverage, adjudication or subrogation of health benefit claims (c) medical necessity and appropriateness of care reviews, utilization review activities and (d) disclosure to consumer reporting agencies of information relating to collection of premiums or reimbursement.
Healthcare Operations: We may use and disclose your health information in connection with our healthcare operations. Healthcare operations could include quality assessment and improvement activities reviewing the competence or qualifications of healthcare professionals, evaluating practitioner and provider performance, conducting training programs, accreditation, certification, licensing, or credentialing activities.
Your Authorization: In addition to our use of you health information for treatment, payment, or healthcare operations, you may give us written authorization to use your health information or to disclose it to anyone for any purpose. If you give us authorization, you may revoke it in writing at any time. Your revocation will not affect any use or disclosures permitted by your authorization while it was in effect. Unless you give us a written you give us a written authorization, we cannot use or disclose your health information for any reason except those described in this notice.
Marketing Products or Surveys: We will not use your health information for marketing communications without your prior written authorization. We may provide you with information regarding products or services that we offer related to your healthcare needs. We will never sell your health information without your prior authorization.
To You, Your Family, and Friends: We must disclose your health information to you, as described in the Patient Rights section of this notice. We may disclose your health information to a family member, friend, or other person to the extent necessary to help with your healthcare or payment for your healthcare, if you agree that we may do so, or if you are not able to agree, if it is necessary in our professional judgment.
Person Involved in Care: EW may use or disclose health information to notify, or assist in the notification of (including identifying or locating) a family member, your personal representative or another person responsible for your care, of your location, your general condition, or death. If you are present, the prior to use or disclosure of your health information, we will provide you with an opportunity to object to such uses or disclosures. In the event of your incapacity or emergency circumstances, we will disclose health information based on determination using our professional judgment disclosing only health information that is directly relevant to the person?s involvement in your healthcare. We will also use our professional judgment and our experience with common practice to make reasonable inferences of your best interest in allowing a person to pick up filled prescriptions, medical supplies, x-rays, or other similar forms of health information.
Required by Law: We may use or disclose your health information when we are required to do so by law, including judicial and administrative proceedings.
Abuse or Neglect: We may disclose your health information to appropriate authorities if we reasonably believe that you are the possible victim of abuse, neglect, or domestic violence, or the possible victim of other crimes. We may disclose your health information to the extent necessary to avert a serious threat to your health or safety, or the health or safety of others.
National Security: We may disclose to military authorities the health information of Armed Forces personnel under certain circumstances. We may disclose to authorized federal officials health information required for lawful intelligence, counterintelligence, and other nation security activities. We may disclose to correctional institutions or law enforcement officials having lawful custody of protected health information of an inmate or patient under certain circumstances.
Appointment Reminders and Treatment Alternatives: We may use or disclose your health information to provide you with appointment reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to you.
PATIENT RIGHTS
Access: your have the right to review or get copies of your health information with limited exceptions. You may request that we provide copies in a format other that photocopies. We will use the format you request unless we cannot practicably do so. You must make a request to obtain access to your health information. You may obtain a form request by contacting us. We will charge you a reasonable cost-based fee for expenses such as copies and staff time. If you request an alternate format, we will charge you a cost-based fee for providing your health information in that format. If you prefer, we will prepare a summary or explanation if your health information for a fee.
Disclosure Accounting: You have a right to receive a list if instances in which we, or our business associates, disclosed your health information for purposes other that treatment, payment, or healthcare operations, where you have provided an authorization and certain other activities. For the last 6 years, but not for disclosure prior to April 14, 2003. If you request this accounting more than once in a 12-month period, we may charge you a reasonable cost-based fee for responding to these additional requests.
Restriction: You have the right to request that we place additional restrictions on our use of your health information. We are not required to agree to these additional restrictions, but if we do, we will abide by our agreement (except in an emergency).
Alternative Communication: You have the right to request in writing that we communicate with you about your health information by alternate means or alternative locations. Your request must specify the alternative means or location, and provide a satisfactory explanation how payments will be handled under the alternative means or location you request.
Amendment: You have the right to request that we amend your health information. Your request must be in writing, and it must explain why the information should be amended. We may deny your request under certain circumstances.
Electronic Notice: If you receive that notice on our website or by e-mail, you are entitled to a written copy.
If you want more information about our privacy practices please contact us.