Privacy Policy
Effective 05/01/2024
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. If you have any questions, please contact our office.
We Are Required by Law to:
- Maintain the privacy of your protected health information.
- Give you this Notice of duties and privacy practices regarding your health information.
- Follow the existing terms of this Notice.
HIPAA Note:
This Notice of Privacy Practices is provided for educational and informational purposes only. This Notice is not intended as legal advice, and is not provided for adoption or publication by any party. The publication of any such notice may create legal obligations or liabilities which may vary depending upon the legal status and business operations of different organizations. The form and content of any Notice of Privacy Practices should be determined only upon informed consultation with qualified legal counsel.
Your Rights as a Patient
Right to Notice
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), Look Optometry can use your protected health information for treatment, payment, and health care operations.
- Treatment – We may use or disclose your health information to a physician or other healthcare provider providing treatment to you.
- Payment – We may use and disclose your health information to obtain payment for services we provide you.
- Healthcare 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.
Patient Rights
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.
- inspect and copy your protected health information.
- amend your protected health information.
- receive an account of disclosures of your protected health information.
- receive a paper copy of this Notice of privacy practices.
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.
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.
Marketing
We will not use your health information for marketing communications without your written authorization.
Our Rights and Requirements as Your Provider
Emergency Situations
In the event of your incapacity or an emergency, 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 your immediate situation.
Required by Law
We may 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, domestic violence, or are the victim of other crimes. We may disclose your health information to avert a serious threat to your or other people’s health or safety.
National Security
We may disclose the health information to the appropriate authorities under certain circumstances, which may include lawful intelligence, counterintelligence, or other national security activities:
- Armed Forces personnel to military authorities
- Authorized federal officials
- Inmates or patients
Appointment Reminders
We may use or disclose your health information to provide you with appointment reminders via phone, e-mail, or letter.
Legal Requirements
Positive Eye Ons Optometry is required by law to maintain the privacy of your protected health information. We must 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.
Contact Information
For more information about Look Optometry’s privacy policies, please contact:
Greg Pearl, O.D., & Brandonn Butler, O.D.
7629 Melrose Ave
Los Angeles, CA 90046
(323) 651-5646