 |
 This
notice describes how health information
about you may be used and disclosed and
how you can get access to this
information.
This notice of Privacy Practices
describes how we may use and disclose
your protected health information
(herein described as PHI) to carry out
treatment, payment or health care
operations and for other purposes that
are permitted or required by law. It
also describes your rights to access and
control your PHI. PHI is information
about you, including demographic
information that may identify you and
that relates to your past, present or
future physical or mental health
condition and related health care
services.
We are required to abide by the terms of
this Notice of Privacy Practices. We may
change the terms of our notice at any
time. The new notice will be effective
for all PHI that we maintain at that
time. Upon your request, we will provide
you with any revised Notice of Privacy
Practices.
You will be asked by your physician to
sign a consent form to use and disclose
your PHI as previously described. Your
PHI may be used and disclosed by your
physician, our office staff and others
outside our office that are involved in
your care. This includes treatment,
payment and other healthcare options.
Other uses and disclosures of your PHI
will be made only with your written
authorization, unless otherwise
permitted or required by law. You may
revoke this authorization at any time,
in writing, except to the extent that
your physician or his practice has taken
an action in reliance on the use or
disclosed information indicated in the
authorization.
Unless you object, we may disclose to a
member of your family, a relative, a
close friend, or any person you
identify, your PHI that directly relates
to that person(s) involvement in your
health care. If you are unable to agree
or object to such a disclosure, we may
disclose such information as necessary
if we determine that it is in your best
interest based on our professional
judgment. We may use or disclose PHI to
notify or assist in notifying a family
member, personal representative or any
other person who is responsible for your
care of your location or general
condition.
We may use or disclose your PHI in any
emergency treatment situation. If this
happens, your physician shall try to
obtain your consent as soon as
reasonably practical after the delivery
of treatment. We may use or disclose PHI
if there are communication barriers,
using our professional judgment.
Disclosures permitted by law: public
health, communicable disease, health
oversight, abuse/neglect, FDA, legal
proceedings, law enforcement, coroners,
research, criminal activity, military,
national security, workers compensation.
You have the right to inspect and copy
your PHI. Under federal law, you may not
inspect or copy the following records:
psychotherapy, information compiled in a
reasonable anticipation of or use in
civil, criminal or administrative action
or proceeding. Please contact our
Privacy Officer if you have any
questions about access to your medical
record.
You have the right to request
restriction of your PHI. Your physician
is not required to agree to a
restriction that you may request, if the
physician feels it is in your best
interest to permit use and disclose your
PHI.
You have the right to request to receive
confidential communications from us by
alternative means or at an alternative
location. You may have the right to have
your physician amend your PHI, however
we may deny your request. You have the
right to receive an accounting of
certain disclosures we have made, if
any, of your PHI.
You may complain to us or to the
Secretary of HHS if you believe your
privacy rights have been violated by us.
You may contact our Privacy Officer,
Julia Perry, at 828-262-1554 or
jperry@wateye.com
for further information about the
compliant process.
This notice was published by
Watauga Eye Center, PA
150 Market Hills Drive
Boone, NC 28607
If you have any questions or
would like more information, please call
us at 828-262-1554, 828-737-7720,
email us or use our
contact form.
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