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Vivid Eyecare, PLLC

PLEASE REVIEW THIS NOTICE CAREFULLY. THIS NOTICE DESCRIBES HOW THE MEDICAL INFORMATION YOU PROVIDE US MAY BE USED AND DISCLOSED, AND HOW YOU MAY OBTAIN ACCESS TO THIS INFORMATION.

We are committed to protecting the personal medical information about you. Vivid Eyecare, PLLC is required by law to maintain the privacy of your health information, to follow the terms of this Notice, and to provide you with this Notice of our legal duties and privacy practices with respect to your health information. We are required to follow the terms of the Notice that is currently in effect.

How Vivid Eyecare, PLLC may use of disclose your health information:

The following are examples of how we use your information for treatment purposes. We use your information when:

  • We set up an appointment for you

  • Our technician or doctor tests your vision and examines your eyes

  • The doctor prescribes glasses or contact lenses

  • The doctor prescribes medications

  • Our staff helps you select and order glasses or contact lenses

  • We refer you to another doctor or clinic for care of your eyes

  • We send a prescription for medication to another professional to be filled

  • We provide a prescription for medication to a pharmacist

  • We phone to let you know that your glasses or contact lenses are ready to be picked up

  • We ask for copies of your health information from another professional that you may have seen before

Examples of how we may use your health information within our office or disclose your health information outside of our office for payment purposes:

  • When our staff asks you about health or vision care plans that you may belong to, or about other sources of payment for our services

  • When we prepare bills to send  to you or your health or vision plan

  • When we process payment by credit card, and when we try to collect unpaid amounts due

  • When bills or claims for payment are mailed, faxed, or sent electronically to you or your health or vision plan

  • When we occasionally have to ask a collection agency or attorney to help us with unpaid amounts due

We use your health information for healthcare operations

We use and disclose your health information for health care operations in various ways. Health care operations means those administrative and managerial functions that we need to do to run our office. We may use or disclose your health information, for example, for financial or billing audits, for internal quality assurance, for personnel decisions, to enable our doctors to participate in managed care plans, for the defense of legal matters, to develop business plans, and for outside storage of our records.

We use your health information for appointment reminders

We may call to remind you of scheduled appointments and may notify you of other treatments or services available at our office that may help you.

Uses and disclosures without prior authorization

In some limited situations, the law allows or requires us to use or disclose you health information without your permission. Not all of these situations will apply to us, and some may never happen at our office at all. Examples of uses or disclosures are:

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  • A state or federal law that mandates certain health information be reported for a specific purpose

  • Public health purposes, such as contagious disease reporting, investigation or surveillance, and notices to and from the Food and Drug Administration regarding drugs or medical devices.

  • Disclosures to governmental authorities about victims of suspected abuse, neglect or domestic violence

  • Uses and disclosures for health oversight activities, such as for the licensing of doctors, for audits by Medicare or Medicaid; or for investigation of possible violations of health care laws.

  • Disclosures for judicial and administrative proceedings, such as in response to subpoenas or orders of courts or administrative agencies

  • Disclosures for law enforcement purposes, such as to provide information about someone who is or is suspected to be a victim of a crime; to provide information about a crime at our office; or to report a crime that happened somewhere else

  • Disclosure to a medical examiner to identify a dead person or to determine the cause of death; or to funeral directors to aid in burial; or to organizations that handle organ or tissue donations

  • Uses or disclosures for health-related research

  • Uses and disclosures to prevent a serious threat to health or safety

  • Uses or disclosures for specialized government functions, such as for the protection of the president or high-ranking government officials; for lawful national intelligence activities; for military purposes; or for the evaluation and health of members of the foreign services

  • Disclosures relating to worker’s compensation programs

  • Disclosures to business associates who perform health care operations for us and who agree to keep your health information private

Other Disclosures

We will not make any other uses or disclosures of your health information unless you sign a written authorization form. You do not have to sign such a form. If you do sign one, you may revoke it at any time unless we have already acted in reliance upon it.

Effective date of notice: 12.12.23

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