NOTICE OF
PRIVACY PRACTICES FOR:
LOR RON Optical
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY
BE USED AND DISCLOSED AND HOW TO GET ACCESS TO THIS INFORMATION.
PLEASE READ IT CAREFULLY.
If you have any questions regarding this notice, you may contact our
Privacy Officer at:
LOR RON Optical,
Attention: Privacy Officer
1 Granite Point Drive, Suite 150, Wyomissing, PA 19610-1986
Telephone: (610) 375-1803 X 3195 or Facsimile: (610) 375-7723
Privacy Policy
It is the policy of our practice that all physicians and staff
preserve the integrity and the confidentiality of protected health
information (PHI) pertaining to our patients. The purpose of this
policy is to ensure that our practice and its physicians and staff
have the necessary medical and PHI to provide the highest quality
medical care possible while protecting the confidentiality of the
PHI of our patients to the highest degree possible. Patients should
not be afraid to provide information to our practice and its
physicians and staff for purposes of treatment, payment and
healthcare operations (TPO). To that end, our practice and its
physicians and staff will--
Adhere to the standards set forth in the Notice of Privacy
Practices.
Collect, use and disclose PHI only in conformance with state and
federal laws and current patient covenants and/or authorizations, as
appropriate. Our practice and its physicians and staff will not use
or disclose PHI for uses outside of practice’s TPO, such as
marketing, employment, life insurance applications, etc. without an
authorization from the patient.
Use and disclose PHI to remind patients of their appointments
unless they instruct us not to.
Recognize that PHI collected about patients must be accurate,
timely, complete, and available when needed. Our practice and its
physicians and staff will:
Implement reasonable measures to protect the integrity of all
PHI maintained about patients.
Recognize that patients have a right to privacy. Our practice and
its physicians and staff respect the patient’s individual dignity at
all times. Our practice and its physicians and staff will respect
patient’s privacy to the extent consistent with providing the
highest quality medical care possible and with the efficient
administration of the facility.
Act as responsible information stewards and treat all PHI as
sensitive and confidential. Consequently, our practice and its
physicians and staff will:
Treat all PHI data as confidential in accordance with
professional ethics, accreditation standards, and legal
requirements.
Not disclose PHI data unless the patient (or his or her
authorized representative) has properly authorized the release or
the release is otherwise authorized by law.
Recognize that, although our practice “owns” the medical record,
the patient has a right to inspect and obtain a copy of his/her PHI.
In addition, patients have a right to request an amendment to
his/her medical record if he/she believes his/her information is
inaccurate or incomplete. Our practice and its physicians and staff
will:
Permit patient’s access to their medical records when their
written requests are approved by our practice. If we deny their
request, then we must inform the patients that they may request a
review of our denial. In such cases, we will have an on-site
healthcare professional review the patients’ appeals.
Provide patients an opportunity to request the correction of
inaccurate or incomplete PHI in their medical records in accordance
with the law and professional standards.
All physicians and staff of our practice will maintain a list of
certain disclosures of PHI for purposes other than TPO for each
patient and those made pursuant to an authorization as required by
HIPAA rules. We will provide this list to patients upon request, so
long as their requests are in writing.
All physicians and staff of our practice will adhere to any
restrictions concerning the use or disclosure of PHI that patients
have requested and have been approved by our practice.
All physicians and staff of our practice must adhere to this
policy. Our practice will not tolerate violations of this policy.
Violation of this policy is grounds for disciplinary action, up to
and including termination of employment and criminal or professional
sanctions in accordance with our practice’s personnel rules and
regulations.
Our practice may change this privacy policy in the future. Any
changes will be effective upon the release of a revised privacy
policy and will be made available to patients upon request.
PRIVACY OFFICER
1 Granite Point Drive, Suite 150, Wyomissing, PA 19610-1986
Telephone: (610) 375-1803 X 3195 or Facsimile: (610) 375-7723