Date of Last Revision: September 23, 2013
Effective Date: Immediately
This summary of our privacy practices is a condensed version of our Notice of Privacy Practices. This information is made available on request by a patient.
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
We understand that your medical information is personal to you, and we are committed to protecting the information about you. As our patient, we create medical records about your health, our care for you, and the services and/or items we provide to you as our patient. By law, we are required to make sure that your Protected Health Information (PHI) is kept private.
How will we use or disclose your information? Here are a few examples (for more detail please see the Notice of Privacy Practices):
If you believe your privacy rights have been violated, you may file a complaint with Southwestern Eye Center (SEC) or with the Secretary of the Department of Health and Human Services. To file a complaint with SEC, contact our office manager. All complaints must be submitted in writing. You will not be penalized for filing a complaint.
You have certain rights regarding the information we maintain about you. These rights include:
CHANGES TO THIS NOTICE:
We reserve the right to change this notice at any time. We reserve the right to make the revised or changed notice effective for medical information we already have about you as well as any information we may receive from you in the future. We will post a copy of the current notice in Southwestern Eye Center. The notice will contain on the first page, in the top right-hand corner, the date of last revision and effective date. In addition, each time you visit Southwestern Eye Center for treatment or health care services you may request a copy of the current notice in effect.
You have recourse if you feel that your protections have been violated by our office. You have the right to file a formal, written complaint with office and with the Department of Health and Human Services, Office of Civil Rights. Feel free to contact the Southwestern Eye Center Compliance Officer for more information at (480) 892-8400. You will not be penalized for filing a complaint.
For more information about these rights, please see the detailed Notice of Privacy Practices.
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