Notice of Our Privacy Practices

Health Insurance Portability and Accountability Act

This act describes how optometric and medical information about you may be used and disclosed, and how you can access the information. The privacy of your information is very important to us. The following is a synopsis of our office policy. A very detailed notice will be posted in our office or will be mailed to you at your request:

• We will use your health care information to treat you.

• We may disclose your information to other health care providers for the purpose of treatment.

• We will use your information to receive payment for products or services.

• We may call or write to remind you of appointments or available services or products. We may leave a message on your answering machine.

• We will not make any other uses or disclosures of your information unless you sign a written authorization form.

• When you visit our office you will be given an opportunity to read our detailed policy or be given a brief explanation before you sign any of our forms.