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As a patient, you have the right to adequate notice of the uses and disclosures of your protected
health information. Under the Health Insurance Portability and Accessibility Act. (HIPAA) 20/20
Vision Care can use your protected health information for treatment, payment and health care
operations.
a) Treatment- We may use or disclose your health information to a physician or other healthcare
provider providing treatment to you.
b) Payment- We may use and disclose your health information to obtain payment for services we
provide you.
c) Health care operations- We may use and disclose your health information in connection with
our healthcare operations. Healthcare operations include quality assessment and improvement
activities, reviewing the competency or qualifications of healthcare 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 your written authorization. Upon signing, you may revoke your authorization (in writing)
through our practice at any time.
In the event of your incapacity or an emergency situation, we will 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 in
your healthcare.
We will not use your health information for marketing communications without your
written authorization.
We may also use or disclose your health information when we are required to do
so by law.
We may also disclose your health information to the appropriate authorities if we reasonably
believe that you are a possible victim of abuse, neglect, or domestic violence or the victim
of other crimes. We may disclose your health information to the extent necessary to avert a
serious threat to your or other people's health or safety.
We may disclose the 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.
We may use or disclose your health information to provide you with appointment reminders via
phone, e-mail or letter.
- You have the right to restrict the disclosure of your protected health information (in writing).
The request for restriction may be denied if the information is required for treatment, payment or
health care 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.
- You have the right to amend your protected health information.
- You have the right to receive an account of disclosures of your protected health information.
- You have the right to a paper copy of this notice of privacy practices.
20/20 Vision Care is required by law to maintain the privacy of your protected health information.
We are required to abide by the terms of this notice as it is currently stated, and reserve the
right to change this notice. The policies in any new notice will not be in effect until they are
posted to this site, or are available within our office.
If you have complaints regarding the way your protected health information was handled, you may
submit a complaint by writing our office. You will not be retaliated against in any manner for a
complaint.
For further information about 20/20 Vision Care's privacy policies, please contact
Melissa R. Lewis, O.D. at the following address or phone number:
20/20 Vision Care
16 Arnold Park Mall
Arnold, MO 63010
(636) 282-2700
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