Privacy Notice
PRIVACY PRACTICES OF CULVER CITY OPTOMETRY
We are obligated by law to give you notice of our privacy practices. This notice describes how we protect your health information and what rights you have regarding it. Please read it carefully.
Right to Notice
As a patient you have the right to adequate notice of the uses and disclosures of the protected health information. Under the health Insurance Portability and Accessibility Act (HIPPA), Culver City Optometry can use your protected health information for treatment, payment and health care operations.
Treatment? We may use ti 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 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 competency or qualifications of health care professionals, evaluating provider performance, conducting training programs, accreditation, certification, licensing or credentialing activities.
Most uses and disclosures that do not fall under treatment, payment, health care operations will require written authorization. Upon signing, you may revoke your authorization (in writing) through our practice at any time.
Emergency Situations
In the event of your incapacity or an emergency situation, we disclose health information to a family member, or another person responsible for your care, using our professional judgment. We will only disclose health information that is directly relevant to the person's involvement
to your healthcare.
Required by Law
We may also disclose your health information when we are required to do so by law.
National Security
We may disclose your health information of Armed forces personnel to military authorities under certain circumstances. We may disclose health information to authorized federal officials required for lawful intelligence, counterintelligence and other national security activities. We may disclose health information of inmates or patients to the appropriate authorities under certain circumstances.
Appointment Reminders
We may use or disclose your health information to provide you with appointment reminders via phone, email, post card or letter.
Your Rights as a Patient
You have the right to restricted disclosure of your protected health information (in writing). The request for restriction may be denied if the information is required for treatment, payment or healthcare operations. You have the right to receive confidential communications regarding your protected health information. You have the right to inspect and copy your protected health information (PHI). Requests for copies of (PHI) must be made in writing to our office and will be available for review in 30 days of the date of the request. You have the right to amend/update your protected health information. To provide the best eye care possible, it is always recommended that you keep us up-to-date on ALL of your health information/conditions. You have the right to receive an account disclosures of your protected health information. Our office will provide within 30 days of a written request. You have the right to a paper copy of this notice of privacy practices.
Complaints
It is always our outmost goal to treat our patients with care and respect. If, however, you have complaints regarding the way your protected health information is handled, you may submit a complaint in writing to our office. We hope that you always let us know what we may do to improve our patient care.
Contact Information
For further information about our privacy policies please contact Kathleen Bissell at, 4125 Sepulveda Bvd, Culver City, CA 90230, (310)3916311.
We are obligated by law to give you notice of our privacy practices. This notice describes how we protect your health information and what rights you have regarding it. Please read it carefully.
Right to Notice
As a patient you have the right to adequate notice of the uses and disclosures of the protected health information. Under the health Insurance Portability and Accessibility Act (HIPPA), Culver City Optometry can use your protected health information for treatment, payment and health care operations.
Treatment? We may use ti 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 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 competency or qualifications of health care professionals, evaluating provider performance, conducting training programs, accreditation, certification, licensing or credentialing activities.
Most uses and disclosures that do not fall under treatment, payment, health care operations will require written authorization. Upon signing, you may revoke your authorization (in writing) through our practice at any time.
Emergency Situations
In the event of your incapacity or an emergency situation, we disclose health information to a family member, or another person responsible for your care, using our professional judgment. We will only disclose health information that is directly relevant to the person's involvement
to your healthcare.
Required by Law
We may also disclose your health information when we are required to do so by law.
National Security
We may disclose your health information of Armed forces personnel to military authorities under certain circumstances. We may disclose health information to authorized federal officials required for lawful intelligence, counterintelligence and other national security activities. We may disclose health information of inmates or patients to the appropriate authorities under certain circumstances.
Appointment Reminders
We may use or disclose your health information to provide you with appointment reminders via phone, email, post card or letter.
Your Rights as a Patient
You have the right to restricted disclosure of your protected health information (in writing). The request for restriction may be denied if the information is required for treatment, payment or healthcare operations. You have the right to receive confidential communications regarding your protected health information. You have the right to inspect and copy your protected health information (PHI). Requests for copies of (PHI) must be made in writing to our office and will be available for review in 30 days of the date of the request. You have the right to amend/update your protected health information. To provide the best eye care possible, it is always recommended that you keep us up-to-date on ALL of your health information/conditions. You have the right to receive an account disclosures of your protected health information. Our office will provide within 30 days of a written request. You have the right to a paper copy of this notice of privacy practices.
Complaints
It is always our outmost goal to treat our patients with care and respect. If, however, you have complaints regarding the way your protected health information is handled, you may submit a complaint in writing to our office. We hope that you always let us know what we may do to improve our patient care.
Contact Information
For further information about our privacy policies please contact Kathleen Bissell at, 4125 Sepulveda Bvd, Culver City, CA 90230, (310)3916311.
