NOTICE OF PRIVACY PRACTICES    

HIPAA Notice of Privacy Practices

Vision Optical

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.

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 your rights concerning your health information.

Uses and Disclosures of Health Information

● Treatment: We may use or disclose your health information to a physician or other healthcare provider providing treatment to you.
● Payment: We may use and disclose your health information to obtain payment for services we provide to you.
● Healthcare Operations: We may use and disclose your health information in connection with our healthcare operations, including quality assessment, evaluating practitioner performance, and other business operations.
● To You or Your Personal Representative: We must disclose your health information to you, as described in the Patient Rights section of this Notice.
● Required by Law: We may use or disclose your health information when we are required to do so by law.
 

Patient Rights

● Access: You have the right to look at or get copies of your health information.
● Amendment: You have the right to request that we amend your health information.
● Disclosure Accounting: You have the right to receive a list of instances in which we or our business associates disclosed your health information for purposes other than treatment, payment, healthcare operations, and certain other activities.
● Restriction: You have the right to request that we place additional restrictions on our use or disclosure of your health information.
 

Questions and Complaints

 

If you want more information about our privacy practices or have questions or concerns, please contact us.
● Privacy Officer: Mario Polanco
● Practice Name: Vision Optical
● Phone: 978-912-7466 or 978-682-5656
● Email: vision.optical@yahoo.com