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Notice of Privacy Practices — Austin Optometry Group
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU MAY OBTAIN ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
As a patient you have the right to adequate notice of the uses and disclosures of your protected health information. Under the Health Insurance Portability and Accessibility Act (HIPAA), Austin Optometry Group can use your protected health information for treatment, payment and health care operations.
Teatment-We may use or disclose your health information to a physician or other health care provider providing treatment to you.
Payment-We may use and disclose your health information to obtain payment for services we provide for you.
Health Care Operations-We may use and disclose your health information in connection with our health care operations. Health care operations include quality assessment and improvement activities, reviewing the compentacy or qualifications of healthcare profesionals, evaluating provider performance, conducting training programs, accreditation, certification, licensing or credentialing activities.
Most uses and disclosures that do not fall under treatment, payment, or health care operations will require your written authorization. Upon signing, you may revoke your authorization (in writing) through our practice at any time.
In the event of your incapacity or an emergency situation, we will disclose health information to a family member, or another person responsible for your care, using our professional judgement. We will only disclose health information that is directly relevant to the person's involvment in your healthcare.
We will not use your health information for external marketing communications without your written authorization.
We may also use or disclose your health information when we are required to do so by law.
We may disclose your health information to appropriate authorities if we reasonably believe that you are a possible victim of abuse, neglect, domestic violence, or the victim of other crimes. We may disclose your health infromation to the extent neccessary to avert a serious threat to you or other people's health or safety.
We may disclose the health information of Armed Services personnel to military authorities under certain circumstances. We may disclose health information to authorized federal officials required for lawful intelligence, counterintellighence, and other national security activities. We may disclose health information of inmates or patients to the appropriate authorities under certain circumstances.
We may use or disclose your health information to provide you with appointment reminders via phone, e-mail, or letter.
Your Rights as a Patient:
You have the right to restrict the disclosure of your protected health information (in writing). The request for restriction may be denied if the information is required for treatment, payment or health care operations. You have the right to recieve confidential communications regarding your protected health information. Ypou have the right to inspect and copy your protected health information.You have the right to amend your protected health information.You have the right to recieve an account of disclosures of your protected health information. You have the right to a paper copy of this notice of privacy practices.
Austin Optometry Group is required by law to maintain the privacy of your protected health information. We are reuired to abide by the terms of this notice as it is currently stated, and reserve the right to change this notice. The policies in any new notice will not be in effect until they are posted to this site, or available within our office.
If you have complaints regarding the way your protected health information was handled, you may submit a complaint in writing to our office. You will not be retaliated against in any matter for a complaint.
Contact Information: For further information about Austin Optometry Group's privacy practices, Please contact Dr. Allen E. Austin at the following address or phone number:
One City Blvd. West #111
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ONE CITY BOULEVARD WEST #111 ORANGE, CA (714) 634-0033
Notice of Privacy Practices
Austin Eyecare | One City Blvd West #111`, Orange, CA 92868, United States
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