Privacy Notice
SILICON VALLEY EYE PHYSICIANS
SUMMARY OF PRIVACY PRACTICES
This summary of our privacy practices is contains a condensed version of our
Notice of Privacy Practices. Our full-length Notice follows this summary.
Date of Last Revision: March 20, 2003
Effective Date: Immediately
This information is made available on request by a patient
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.
We understand that your medical information is personal to you, and we are committed to protecting the information about you. As our patient, we create medical records about your health, our care for you, and the services and/or items we provide to you as our patient. By law, we are required to make sure that your protected health information is kept private.
How will we use or disclose your information? Here are a few examples (for more detail please refer to the Notice of Privacy Practices that follows this summary):
For medical treatment For pharmacy communications
To obtain payment for our services For research
In emergency situations To avert a serious threat to health or safety
For appointment and patient recall reminders For organ and tissue donation
For communications from our office. For workers' compensation programs
To optical vendors to manufacture your glasses or contact lenses In response to certain requests arising out of lawsuits or other disputes
If you believe your privacy rights have been violated, you may file a complaint with the Practice or with the Secretary of the Department of Health and Human Services. To file a complaint with the Practice, contact our office manager. All complaints must be submitted in writing. You will not be penalized for filing a complaint.
You have certain rights regarding the information we maintain about you. These rights include:
The right to inspect and copy The right to request restrictions
The right to amend The right to a paper copy of this notice
The right to an accounting of disclosures The right to request confidential communications
SUMMARY OF PRIVACY PRACTICES
This summary of our privacy practices is contains a condensed version of our
Notice of Privacy Practices. Our full-length Notice follows this summary.
Date of Last Revision: March 20, 2003
Effective Date: Immediately
This information is made available on request by a patient
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.
We understand that your medical information is personal to you, and we are committed to protecting the information about you. As our patient, we create medical records about your health, our care for you, and the services and/or items we provide to you as our patient. By law, we are required to make sure that your protected health information is kept private.
How will we use or disclose your information? Here are a few examples (for more detail please refer to the Notice of Privacy Practices that follows this summary):
For medical treatment For pharmacy communications
To obtain payment for our services For research
In emergency situations To avert a serious threat to health or safety
For appointment and patient recall reminders For organ and tissue donation
For communications from our office. For workers' compensation programs
To optical vendors to manufacture your glasses or contact lenses In response to certain requests arising out of lawsuits or other disputes
If you believe your privacy rights have been violated, you may file a complaint with the Practice or with the Secretary of the Department of Health and Human Services. To file a complaint with the Practice, contact our office manager. All complaints must be submitted in writing. You will not be penalized for filing a complaint.
You have certain rights regarding the information we maintain about you. These rights include:
The right to inspect and copy The right to request restrictions
The right to amend The right to a paper copy of this notice
The right to an accounting of disclosures The right to request confidential communications