Southeast Connecticut Eye Care, LLC

Notice of Privacy Practices

This notice describes how medical information about you may be used and disclosed and how you can get access to your medical records. Please review this notice carefully.

Your Rights

You have the right to:

Your Choices

You have some choices in the way that we use and share information as we:

For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will try to follow your instructions. In these cases, you have both the right and choice to tell us to:

In general, we try to act in your best interest in sharing health information. This includes discussing your care with other clinicians, family members, and legal guardians.

If you are not able to tell us your preference, for example if you are unconscious, we may share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.

In these cases we never share your information unless you give us written permission:

Our Uses and Disclosures

We may use and share your information as we:

How to

To get an electronic or paper copy of your medical record:

To correct your medical record:

To request confidential communications:

To ask us to limit what we use or share:

To get a list of those with whom we’ve shared information:

To get a copy of this privacy notice:

To choose someone to act for you:

To file a complaint if you feel your rights are violated:

Our Uses and Disclosures

How do we typically use or share your health information?

We typically use or share your health information in the following ways:

How else can we use or share your health information?

We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html.

We can share health information about you for certain situations such as:

Our Responsibilities

For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.

Changes to the Terms of this Notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our web site.

Other information