Privacy Notice
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.
GENERAL RULE
We respect our legal obligation to keep health information that identifies you private. We are obligated by law to give you notice of our privacy practices.
Generally, we cannot use your health information in our offices or disclose it outside of our office without your written permission. Sometimes the written permission will be called a consent form and sometimes it will be called an authorization form. The type of permission form will depend on the kinds of uses or disclosures that are involved. In some limited situations, the law allows or requires us to disclose your health information without a written consent or authorization.
USES OR DISCLOSURES WITH CONSENT
We will ask you to sign a consent form allowing us to use and disclose your health information for purposes of treatment, payment, and health care operations of this office. We are allowed to refuse to treat you if you do not sign the consent form.
Madeira Optical does not collect personal information from this web site. For a complete listing of privacy practices, please contact our office.
GENERAL RULE
We respect our legal obligation to keep health information that identifies you private. We are obligated by law to give you notice of our privacy practices.
Generally, we cannot use your health information in our offices or disclose it outside of our office without your written permission. Sometimes the written permission will be called a consent form and sometimes it will be called an authorization form. The type of permission form will depend on the kinds of uses or disclosures that are involved. In some limited situations, the law allows or requires us to disclose your health information without a written consent or authorization.
USES OR DISCLOSURES WITH CONSENT
We will ask you to sign a consent form allowing us to use and disclose your health information for purposes of treatment, payment, and health care operations of this office. We are allowed to refuse to treat you if you do not sign the consent form.
Madeira Optical does not collect personal information from this web site. For a complete listing of privacy practices, please contact our office.
