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Washington Eye Clinic

Notice of Privacy Practices

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.

A federal regulation, known as the “HIPAA Privacy Rule,” requires that we provide detailed notice in writing of our privacy practices. We know that this Notice is long. The HIPAA Privacy Rule requires us to address many specific things in this Notice.

OUR COMMITMENT TO PROTECTING HEALTH INFORMATION ABOUT YOU. In this Notice, we describe the ways that we may use and disclose health information about our patients. The HIPAA Privacy Rule requires that we protect the privacy of health information that identifies a patient, or where there is a reasonable basis to believe the information can be used to identify a patient. This is information is called “protected health information” or “PHI”. This Notice describes you rights as our patient and our obligations regarding the use and disclosures of PHI. We are required by law to:

  • Maintain the privacy of PHI about you
  • Give you this Notice of our legal duties and privacy practices with respect to PHI: and
  • Comply with the terms of our Notice of Privacy Practices that is currently in effect.

 *We reserve to make changes in this Notice and to make such changes effective for all PHI as we may already have about you. If and when this Notice is changed, we will post a copy in our office in a prominent location. We will also provide you with a copy of the revised Notice upon your request made to our Privacy Official.

If you have any questions about this Notice, please contact our Privacy Official at the address and telephone listed below.

Linda Jewell, Privacy Official

636 West 15th Street
Washington, NC  27889
252-946-2171

*This is not the full Notice. To obtain a copy of the complete Notice, call Linda Jewell at 252-946-2171 or stop by our office and we will gladly give you a copy.

Thank you,

Washington Eye Clinic, PA

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