Notice of Privacy Practice (HIPAA)

iFocus Vision Center

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND

DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.

PLEASE READ THIS NOTICE CAREFULLY.

This Notice describes the privacy practices of the iFocus Vision Center and applies to all of the health records that identify you and the care you receive at this facility. We believe that your health information is personal. We keep records of the care and services that you receive at our facility and are committed to keeping your health information private. By law, we are also required to respect your confidentiality. If you are under 18 years of age, your parents or guardian must sign for you and handle your privacy rights for you. We are legally required to give you this Notice and to follow the terms of the Notice that is currently in effect.

How iFocus Vision Center may use and disclose your health information.

When you become a patient of iFocus Vision Center, we will use your health information within iFocus Vision Center and disclose your health information outside our facility for the reasons described in this Notice. The following categories describe some of the ways that we will use and disclose your health information.

Treatment. Your health information may be used by our staff members or disclosed to other health care professionals for the purpose of evaluating your health, diagnosing medical conditions, and providing treatment. For example, external or internal photos of your eye available in your health record will be available to all health professionals who may provide treatment or who may be consulted by staff members.

Payment. We may use and disclose your health information so that the health care you receive may be billed and paid for by you, your insurance company, or another third party. For example, your health plan may request and receive information on dates of service, services provided and the medical condition being treated.

Health Care Operations. We may use your health information and disclose it outside iFocus Vision Center for our health care operations. These uses and disclosures help us operate iFocus Vision Center to maintain and improve patient care. For example, we may use your health information to review the care you received and to evaluate the performance of our staff in caring for you. We also may combine health information about many patients to identify new services to offer, what services are not needed, and whether certain therapies are effective. We may also disclose information to staff members at iFocus Vision Center for learning and quality improvement purposes. We may remove information that identifies you so people outside iFocus Vision Center may study your health data without knowing who you are.

Contacting You. We may use and disclose health information to reach you about appointments and other matters. We may contact you by mail, telephone or email. We may leave voice messages at the telephone number you provide us with and we may respond to your email address.

Persons Involved In Care. Only with your permission may we use or disclose your health information to a family member, friend or other person to the extent necessary to help with your healthcare or to notify or assist with payment for your healthcare.

Health-Related Services. We may use and disclose health information about you to send you mailings about health-related products and services available at iFocus Vision Center.

Legal Matters. We will disclose health information about you outside iFocus Vision Center when required to do so by federal, state, or local law, or by the court process. We may disclose health information about you for public health reasons, like reporting domestic violence, child abuse or neglect, reactions to medications or problems with medical products. We may release health information to help control the spread of disease or to notify a person whose health or safety may be threatened. We may disclose health information to a health oversight agency for activities authorized by law, such as for audits, investigations, inspections, and licensure.

AUTHORIZATIONS FOR OTHER USES AND DISCLOSURES

As described above, we will use your health information and disclose it outside iFocus Vision Center for treatment, payment, health care operations, and when permitted or required by law. We will not use or disclose your health information for other reasons without your written authorization. These kinds of uses and disclosures of your health information will be made only with your written authorization. You may revoke the authorization, in writing, at any time, but we cannot take back any uses or disclosures of your health information already made with your authorization.

YOUR INDIVIDUAL RIGHTS

  • You have the right to request restrictions on the use and disclosure of your protected health information.

  • You have the right to amend health information about you that is incorrect or incomplete.

  • You have the right to inspect and obtain a copy of your completed health records unless your doctor believes that disclosure of that information to you could harm you. Your request must be submitted in writing, signed and dated.

  • You have the right to request an accounting or a listing of persons or entities to whom iFocus Vision Center has disclosed your health information without your written authorization.

  • You have the right to request that we communicate with you about your health in a certain way or at a certain location. For example you may request only to be contacted by email or cell phone regarding your confidential health information.

  • You have the right to a copy paper of this notice even if you have read our policies on our website or other electronic form. You may obtain a copy of this notice at iFocus Vision Center or by calling (702) 473-5660.

COMPLAINTS

If you would like to submit a comment or complaint about our privacy practices you can do so by sending a letter to

iFocus Vision Center

Attn: HIPAA Privacy Officer

9484 W. Flamingo Rd.

Suite 280

Las Vegas, NV 89147

CHANGES TO THIS NOTICE

iFocus Vision Center may change this Notice at any time. Any change in the Notice could apply to medical information we already have about you, as well as any information we receive in the future. We will post a copy of the current Notice at our facility and on our Web site, www.ifocuslasvegas.com.