 |
| |
 |
| |
 |
| |
 |
| Privacy Notice |
Under the Health Insurance Portability and Accessibility Act of the
uses and disclosures of your protected health information. Under
the Health Insurance Portability and Accessibility Act (HIPAA),
Bloomingcamp Optometry can use your protected health
information for treatment, payment and health care operations.
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.
Your Authorization: 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.
Emergency Situations: 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.
Marketing: We will not use your health information for marketing
communications without your written authorization.
Required by Law: We may also use or disclose your health
information when we are required to do so by law.
Abuse or Neglect: We may disclose your health information to
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.
National Security: 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.
Appointment Reminders: We may use or disclose your health
information to provide you with appointment reminders via phone,
e-mail or letter.
Your Rights as a Patient:
· 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.
Legal Requirements: Bloomingcamp Optometry 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.
Complaints: If you have complaints regarding the way your
protected health information was handled, you may submit a
complaint in writing to our office. You will not be retaliated against
in any manner for a complaint.
Contact Information: For further information about Bloomingcamp
Optometry’s privacy policies, please contact Bloomingcamp
Optometry at the following address or phone number:
Bloomingcamp Optometry
Attention: Coni Bloomingcamp O.D.
2205 Fourth Street
Livermore CA 94550
(925) 454-1598
uses and disclosures of your protected health information. Under
the Health Insurance Portability and Accessibility Act (HIPAA),
Bloomingcamp Optometry can use your protected health
information for treatment, payment and health care operations.
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.
Your Authorization: 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.
Emergency Situations: 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.
Marketing: We will not use your health information for marketing
communications without your written authorization.
Required by Law: We may also use or disclose your health
information when we are required to do so by law.
Abuse or Neglect: We may disclose your health information to
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.
National Security: 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.
Appointment Reminders: We may use or disclose your health
information to provide you with appointment reminders via phone,
e-mail or letter.
Your Rights as a Patient:
· 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.
Legal Requirements: Bloomingcamp Optometry 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.
Complaints: If you have complaints regarding the way your
protected health information was handled, you may submit a
complaint in writing to our office. You will not be retaliated against
in any manner for a complaint.
Contact Information: For further information about Bloomingcamp
Optometry’s privacy policies, please contact Bloomingcamp
Optometry at the following address or phone number:
Bloomingcamp Optometry
Attention: Coni Bloomingcamp O.D.
2205 Fourth Street
Livermore CA 94550
(925) 454-1598
| Copyright 2007 All Rights Reserved Questions, comments, suggestions? Send to Webmaster |