We use and disclose health information about you for treatment, payment, and healthcare operations.
Treatment: We may use or disclose your health information to another healthcare provider providing treatment to you.
Payment: We may use or disclose your health information to obtain payment for services provided.
Healthcare Operations: We may use or disclose your healthcare information in connection with our healthcare operations.
Required By Law: We may be required to disclose your information to public health authorities and agencies that are authorized by law to collect such information, by lawsuits or similar proceedings in response to court or administrative order, as required by law enforcement officials, too federal officials for intelligence or national security activities as authorized by law, to correctional or law enforcement officials if you are under their control, to US military authorities if required by appropriate authorities, or when deemed necessary to prevent serious threat to your health and safety or the health and safety of others to report to appropriate authorities.
Appointment Reminders: We may use or disclose your health information to provide you with appropriate reminders such as voicemail messages, postcards, etc.
Persons Involved in Care: We may use or disclose health information to notify family members or your personal representative of your location and general condition. If you are present, you may object to such disclosures prior. You have the right to request that we restrict such disclosures.
Alternative Communication: You may request that we communicate with you in a particular manner. All reasonable requests will be accomodated.
Access: You have the right to obtain copies of your Protected Health Information. We may charge reasonable costs for such records.
Complaints: We maintain the privacy of your PHI as required by law and provide you with this notice. You may file a complaint with our practice or with the Secretary of the Department of Health and Human Services. All complaints must be submitted in writing.
Contact officer: Matthew Bashover O.D. Fax : 817-261-2262 Address: 3990 North Collins Ste 102, Arlington TX 76005