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Oculus Optometry
Home
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  • Our Technology
  • What Causes Dry Eyes
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  • Medical Services
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Order Contacts
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    • Dry Eye Spa
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Privacy Policy

THIS NOTICE DESCRIBES HOW MEDICAL AND PERSONAL INFORMATION  ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS  INFORMATION. PLEASE REVIEW IT CAREFULLY.


THIS NOTICE IS EFFECTIVE 07/01/2014 UNTIL FURTHER NOTICE.

Please review this entire notice for details about the uses and disclosures Oculus Optometry may make of your medical information,  about your rights and how to exercise them and about complaints  regarding or additional information about our privacy practices.

 

  1. OUR LEGAL DUTY
    We use many methods to protect your oral, written  and electronic medical information from illegal use or disclosure. We  are required by law to: (a) keep your medical information private; (b)  provide you with this notice and follow the policies listed here; (c)  inform you if we cannot agree to limit how we share your medical  information; (d) agree to reasonable requests to contact you by  alternative means or at alternative locations; (e) get your written  approval to share your medical information for reasons other than those  listed above and permitted by law; and (f) notify you of any breaches of  your unsecured health information.

    We reserve the right to change our privacy practices  and the terms of this notice at any time, provided such changes are  permitted by applicable law. We reserve the right to make the changes in  our privacy practices and the new terms of our notice effective for all medical information that we maintain, including medical information we created or received before we made the changes. If we make a significant  change in our privacy practices, we will change this notice and make  available a copy of the notice at our office.

    You may request a paper copy of our notice at any time by contacting us using the information at the end of this notice.                 
     
  2. USES AND DISCLOSURES OF MEDICAL INFORMATION
    We will use and disclose medical information about you for treatment, payment and health care operations. For example:

    Treatment: We may disclose your medical information, without your permission, to a physician or other health  care provider to treat you, or to coordinate or manage your health care  and any related services. For example, we may share information about  your eye condition to another health care professional to assist in  their treatment of you.

    Payment: We may use and disclose your medical  information, without your permission, to determine eligibility, process  claims or make payment for covered services you receive under your  benefit plan. We may also disclose your medical information to a health  care provider or another health plan for that provider or plan to obtain  payment or engage in other payment activities. For example, we may need  to give information about your treatment to your health plan so they  will pay us or reimburse you for the treatment.

    Health Care Operations: We may use and  disclose your medical information, without your permission, for health  care operations. Health care operations include, for example, health  care quality assessment and improvement activities and general  administrative activities.

    Persons Involved in Your Care: Unless you object, we may disclose your medical information to a family member,  friend or any other person you involve in your health care or payment  for your health care. We will disclose only the medical information that  is relevant to the person’s involvement, and at all times, we will only  disclose the minimum necessary information. In addition, we may  disclose your medical information to your personal representative  (generally, a person who has authority to act on your behalf to make  decisions related to your care).

    Medical Emergency & Disaster Relief: We  may use or disclose your name, location and general condition to notify,  or to assist an appropriate public or private agency to locate and  notify, a person responsible for your health care in appropriate  situations, such as a medical emergency or during disaster relief  efforts.

    Appointment Reminders & Health-Related Benefits and Services: We may contact you to remind you of appointments. We may use your  medical information to communicate with you about health-related  products, benefits and services, payment for those products, benefits  and services, and treatment alternatives that may be of interest to you.

    Additional Uses and Disclosures Without Your Authorization: We may use and disclose your medical information, without your  permission, when required by law, and when authorized by law for the  following kinds of public health and interest activities, judicial and  administrative proceedings, law enforcement, research and other public  benefit functions: for public health, including to report disease and  vital statistics, child and adult abuse, neglect or domestic violence;  to avert a serious and imminent threat to health or safety; to a health  oversight agency for health care oversight, such as activities of state  insurance commissioners, licensing and peer review authorities and fraud  prevention enforcement agencies; to the Secretary of the Department of  Health and Human Services (“HHS”) for the purpose of investigating or  determining our compliance with HIPAA; for research; in response to  court and administrative orders and other lawful process; to law  enforcement officials with regard to crime victims, crimes on our  premises, crime reporting in emergencies and identifying or locating  suspects or other persons; to coroners and medical examiners to identify  a deceased person, determine cause of death, or other lawful duties; to  funeral directors as needed to carry out their duties; to organ  procurement, banking, or transplantation organizations to assist with  organ, eye, or tissue donation and transplantation; to the military  regarding individuals who are Armed Forces personnel or foreign military  personnel, for activities considered necessary by appropriate military  command authorities; to federal officials for lawful intelligence,  counterintelligence and national security activities, and correctional  institutions and law enforcement regarding persons in lawful custody;  and as authorized by state worker’s compensation laws.

    Uses and Disclosures With Your Authorization: You may give us written authorization to use your medical information  or to disclose it to anyone for any purpose. If you give us an  authorization, you may revoke it in writing at any time. Your revocation  will not affect any use or disclosure permitted by your authorization  while it was in effect. Unless you give us a written authorization, we  will not use or disclose your medical information for any purpose other  than those described in this notice. An authorization is required for  the following: most uses and disclosures of psychotherapy notes; most  uses and disclosures for marketing purposes; and the sale of your  medical information.                 
     
  3. INDIVIDUAL RIGHTS
    Access: You have the right to examine and to receive a copy of your  medical information, with limited exceptions. You must make a written  request to the contact at the end of this notice to obtain access to  your medical information.

    Disclosure Accounting: You have the right to a list of instances after April 13, 2003, in which we disclose your medical information for purposes other than  treatment, payment and health care operations, as authorized by you, and  for certain other activities. You must make your request to the contact  at the end of this notice. We will provide you with information about  each accountable disclosure that we made during the period for which you  request the accounting, except we are not obligated to account for a  disclosure that occurred more than six years before the date of your  request and never for a disclosure that occurred before April 14, 2003.

    Amendment: You have the right to request that we amend your medical  information. You must make a written request to the contact at the end  of this notice and the written request must explain why the information  should be amended. We may deny your request only for certain reasons. If  we deny your request, we will provide you a written explanation. If we  accept your request, we will make your amendment part of your medical  information and use reasonable efforts to inform others of the amendment  who we know may have and rely on the unamended information to your  detriment, as well as persons you want to receive the amendment.

    Restriction: You have the right to request that we restrict our use or  disclosure of your medical information for treatment, payment or health  care operations, or with family, friends or others you identify. We are  not required to agree to your request, except if you (or someone on your  behalf) pay for a health care item or service in full and you request  that we not disclose information about the health care to your health  plan. If we agree to a restriction request, we will abide by our  agreement, except in a medical emergency or as required or authorized by  law. You must make a written request to the contact at the end of this  notice.

    Confidential Communication: You have the right to request that we  communicate with you about your medical information in confidence by  alternative means or to alternative locations that you specify. You must  make a written request to the contact at the end of this notice and  your request must represent that the information could endanger you if  it is not communicated in confidence as you request. We will accommodate  your request if it is reasonable and specifies the alternative means or  location for confidential communication.

    Right to Obtain a Paper Copy: You are entitled to receive this notice in written form, even if  you receive this notice on our web site or by e-mail. Please contact us  using the information at the end of this notice to obtain this notice in  written form.

     
  4. PERSONAL INFORMATION
    Collection of Personal Information: We may collect personal  information directly from you, for example through a web form, during an  online or in-person registration, while making an appointment or when  you contact us. Personal information we collect directly from you may  include first and last name, address, date of birth, email address and  phone number.

    Use of Personal Information: We use information collected  directly from you to provide you with medical care, information about  our products and services, customer support and other relevant  information.

    Disclosure of Personal Information: We will never share, trade, or otherwise sell your personal information such as phone numbers and SMS consent to any third party, such as for the purposes of marketing or allowing those third parties to send SMS. We may share your personal information only if necessary to comply with applicable laws  and regulations, to respond to a subpoena, search warrant or other  lawful request for information we receive, or to otherwise protect our  rights.

    Text Message Communications: By initiating text messages with us, you consent to receiving text messages from us about your appointments and care. If you wish to stop receiving text messages from us, reply STOP, QUIT, CANCEL, OPT-OUT, or UNSUBSCRIBE to any text  message sent from us.
     
  5. QUESTIONS AND COMPLAINTS
    If you want more information about our privacy  practices or have questions or concerns, please contact us using the  information at the end of this notice.

    If you are concerned that we may have violated your  privacy rights, or you disagree with a decision we made about access to  your medical information in response to a request you made to amend,  restrict the use or disclosure of, or communicate in confidence about  your medical information, you may complain to us using the contact  information at the end of this notice. You also may submit a written  complaint to the Office for Civil Rights of the United States Department  of Health and Human Services, 200 Independence Avenue, SW, Room 509F,  Washington, D.C. 20201. You may contact the Office of Civil Rights’  Hotline at 1-800-368-1019. We will not retaliate in any way if you  choose to file a complaint with us or with the U.S. Department of Health  and Human Services.                 
     
  6. CONTACT
    Oculus Optometry
    (626) 460-6022
    info@oculusoptometry.com
    1024 Mission St. Suite B, South Pasadena, CA 91030

Copyright © 2025 Oculus Optometry - All Rights Reserved.

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