LEGAL DISCLAIMER:

  • Content on this website has been provided and/or reviewed by our practice. I (we) have reviewed the site information and find it to be in accordance with the standards of the medical profession in our jurisdiction. We strive to provide unbiased, accurate, timely, and up-to-date information.
  • The information on this site is not a substitute for consultation with a physician or any other health and/or medical professional. If you  have any questions about your individual situation, please contact your physician—your eye health professional.
  • Although we try to assure that the information presented on our website is accurate, our knowledge base is constantly changing, there are professional differences of opinion and there is always the possibility of human error. We cannot warrant the accuracy or completeness of information obtained from this site or any site linked to this site.  We are not responsible for any errors or omissions that may be found in this site or results obtained from the use of this site.
  • The contents of this website, including but not limited to text, graphics, photographs, video, audio, names, logos, trademarks, and other material (“Material”) are protected by copyright and other laws in the United States, Canada and elsewhere.

NOTICE OF PRIVACY PRACTICES FOR PACIFIC RETINA CARE, INC.

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. IF YOU HAVE ANY QUESTIONS PLEASE CONTACT OUR OFFICE. WE ARE REQUIRED BY LAW TO: MAINTAIN THE PRIVACY OF YOUR PROTECTED HEALTH INFORMATION, GIVE YOU THIS NOTICE OF OUR DUTIES AND PRIVACY PRACTICES REGARDING HEALTH INFORMATION ABOUT YOU, AND FOLLOW THE TERMS OF OUR NOTICE THAT IS CURRENTLY IN EFFECT.

Effective 01.01.2013

TREATMENT, PAYMENT, AND HEALTH CARE OPERATIONS

By law, we are allowed to use or disclose your protected health information (PHI) without your written consent for the purpose of treatment, payment or health care operations.  Examples include scheduling appointments; examinations; prescribing corrective lenses, vision aids, or medications and providing prescription information to suppliers; referrals for other medical care; getting copies of past records; acquiring guarantor/insurance information; processing bills or claims; financial or billing audits; internal quality assurance; personnel decisions; credentialing; legal defense; business planning; and outside storage of our records.

USES AND DISCLOSURES FOR OTHER REASONS WITHOUT PERMISSION

In some limited situations, the law allows or requires us to use or disclose your PHI without your permission.  Examples include reporting for public health purposes and oversight; FDA requirements; suspected abuse or neglect; threats to health or safety; subpoenas or court orders; relating to organ procurement; knowledge relating to a crime; worker’s compensation disclosures; disclosures of de-identified information, disclosures of a “limited data set” for research, public health, or health care operations; incidental disclosures that are an unavoidable by-product of permitted uses or disclosures and disclosures to “business associates” who perform health care operations for us and who commit to respect the privacy of your PHI. Any information that is disclosed will be limited to the minimum information required and will only be given to parties with the proper authorization to obtain this information.  Unless you object, we will also share relevant information about your care with family or friends who are helping with your care.

APPOINTMENT REMINDERS/ NOTIFICATIONS

We may call or write to notify you of routine examinations due, appointment confirmation, order status or services available at our office.  Unless you tell us otherwise, we will mail you an appointment reminder on a post card and/or call you at the number you have given us.  We may leave a message on your phone or with whoever answers your phone if you are not available.

OTHER USES AND DISCLOSURES

We will not make any other uses or disclosures of your PHI unless you sign a written “authorization form” the content of which is determined by federal law.  You are not required to sign the authorization, however, if you do not, we cannot use or make the disclosure.  The authorization may be revoked at any time by writing to the contact below.  Previous disclosures are not effected. When appropriate, we may share Health Information with a person who is involved in your medical care or payment for your care, such as your family or close friend. We also may notify family about your location or general condition or disclose such information to an entity assisting in disaster relief. Under certain circumstances, we may use and disclose Health Information for research. Health Information may be used for fundraising communications, but you have a right to opt-out of receiving such communications. Except for the exceptions detailed above, uses and disclosures of Health Information for marketing purposes, as well as disclosures that constitute a sale of Health Information, require your authorization if we receive any financial remuneration from a third party in exchange for making the communication, and we must advise you that we are receiving remuneration. Other uses and disclosures of Health Information not contained in the Notice may be made only with your authorization.

SPECIAL SITUATIONS

As required by law, we will disclose Health Information when required to do so by federal, state or local law to avert a serious threat to health or safety; to business associates that perform functions on our behalf who have agreed to our NPP; organ and tissue donation; military and veterans; Workers’ Compensation; public health risks; health oversight activities; law enforcement; coroners, medical examiners and funeral directors; national security and intelligence activities; protective services for the President and others; and inmates and individuals in custody when necessary.

YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION

All requests must be made in writing (address below) and will be responded to within the time allowed by law (usually 30 days).

  • You may ask us to restrict our uses and disclosures for purposes of treatment (except emergency treatment), payment or health care operations.  We do not have to agree to do this, but if we agree, we must honor the restrictions that you want.
  • You may ask us to communicate with you in a confidential way, such as using a specific phone number or address.  We will accommodate these requests if they are reasonable.  There may be a charge for any extra cost involved with the request.
  • You may ask to see or to get photocopies of your PHI. You may have to pay for photocopies in advance.  By law, there are a few limited situations in which we can refuse to permit access or copying.  If we deny your request, we will send you a written explanation, and instructions about how to get an impartial review of our denial if one is legally available.
  • You may ask us to amend PHI that you think is incorrect or incomplete.  If we agree, we will amend the information and send the corrected information to persons who we know got the wrong information, and others that you specify.  If we do not agree, you can write a statement of your position, and we will include it with your file along with any rebuttal statement that we may write.  Once your statement of position and/or our rebuttal is included in your PHI, we will include it anytime we disclose your PHI.
  • You may request a list of our disclosures of your PHI within the past 6 years.  By law, the list will not include: disclosures for purposes of treatment, payment or health care operations; disclosures with your authorization; incidental disclosures; disclosures required by law; and some other limited disclosures.  You are entitled to one such list per year without charge.
  • You can receive additional paper copies of this Notice of Privacy Practices upon request.
  • You have the right to receive a copy of your electronic health records in electronic format.
  • You have the right to be notified if there is a Breach of privacy such that your Health Information is disclosed or used improperly or in an unsecured way.
OUR NOTICE OF PRIVACY PRACTICES (NPP)

By law, we must abide by the terms of this NPP until we change it.  We reserve the right to change this notice at any time as allowed by law.  If we change this notice, the new NPP will apply to any PHI that we already have as well any that we may generate in the future.  If we change our NPP, we will post the new notice in our office, on our website and have copies available in our office.

COMPLAINTS

If you think we have not properly respected the privacy of your PHI, you are free to complain without fear of retaliation. You may discuss your complaint with us by sending a written complaint to our office or the U.S. Dept. of Health and Human Services, Office for Civil Rights. You will not be penalized for filing a complaint.

CONTACT INFORMATION:

For more information about our privacy practices you may contact our office.  All requests concerning your PHI must be made in writing to: