HIPAA Privacy Notice
IN COMPLIANCE WITH THE FEDERAL REGULATIONS OF HIPAA’S PRIVACY RULE, THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN OBTAIN ACCESS TO IT
Your Rights, Our Responsibility
This notice explains our privacy practices and your rights regarding your medical information. Please read it carefully.
Our Commitment To Your Privacy
We understand that your medical information is personal and confidential. We are committed to protecting your privacy and complying with applicable laws and regulations, including the Health Insurance Portability and Accountability Act (HIPAA) and the California Consumer Privacy Act (CCPA).
Uses and Disclosures of Medical Information
We may use and disclose your medical information for the following purposes:
- Treatment: We may use and disclose your medical information to provide you with medical treatment and services. This includes sharing information with doctors, nurses, technicians, and other healthcare providers involved in your care.
- Payment: We may use and disclose your medical information to obtain payment for the healthcare services we provide to you. This may involve sharing information with your insurance company or other third-party payers.
- Healthcare Operations: We may use and disclose your medical information for our healthcare operations. This includes activities such as quality assessment, auditing, training, and compliance activities. We may also share your information with our business associates who perform certain functions on our behalf.
- Appointment Reminders: We may use and disclose your medical information to contact you and remind you about upcoming appointments or to provide information about treatment alternatives.
- Research and Public Health: We may use and disclose your medical information for research or public health purposes in limited circumstances. These disclosures are subject to strict confidentiality and privacy safeguards.
- Legal Requirements: We may use and disclose your medical information when required by law, such as in response to a court order or subpoena, or to report suspected abuse or neglect.
Your Rights
As a patient, you have certain rights regarding your medical information, including:
- Right to Access: You have the right to access and obtain a copy of your medical records and other health information we maintain about you. We may charge a reasonable fee for copying and mailing these records.
- Right to Request Restrictions: You have the right to request restrictions on how your medical information is used and disclosed for treatment, payment, and healthcare operations. We will consider your request but are not obligated to agree to the restrictions.
- Right to Amend: If you believe that your medical information is incorrect or incomplete, you have the right to request an amendment to your records. We may deny your request under certain circumstances.
- Right to Request Confidential Communication: You have the right to request that we communicate with you about medical matters in a certain way or at a specific location to preserve your privacy. We will accommodate reasonable requests.
- Right to an Accounting of Disclosures: You have the right to request an accounting of certain disclosures of your medical information made by us.
- Right to File a Complaint: If you believe your privacy rights have been violated, you can file a complaint with us or the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.
Our Responsibility
We are required by law to maintain the privacy and security of your medical information and to provide you with this notice explaining our privacy practices. We will not use or disclose your medical information in a manner that is inconsistent with this notice unless required by law.
Contact Information
If you have any questions about this notice or your privacy rights, please contact:
Kristy Cambone, Privacy Official
619-683-2020
info@uoosd.com
Urban Optiks Optometry
3788 Park Blvd. Suite 5
San Diego, CA 92103
uoosd.com
We reserve the right to change our privacy practices and the terms of this notice at any time. Any changes will apply to medical information we already have about you and any information we receive in the future. The new notice will be available upon request, in our office, and on our website.
Updated May 24, 2023
