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.
Our Commitment to Your Privacy
Green Vision Care understands that medical information about you and your health is personal. We
are committed to protecting your protected health information (PHI) and maintaining its
confidentiality in accordance with applicable federal and state laws.
How We May Use and Disclose Your Health Information
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Treatment – To provide eye examinations, contact lens services, optical services, and coordinate care.
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Payment – To bill and collect payment from insurance companies and patients.
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Healthcare Operations – Quality improvement, training, licensing, compliance, and businessoperations.
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Appointment reminders and communications regarding your care.
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Uses and disclosures required or permitted by law.
Your Rights
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Inspect and obtain copies of your health records.
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Request corrections to your records.
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Request restrictions on certain uses or disclosures.
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Request confidential communications.
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Receive an accounting of disclosures.
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Receive a paper copy of this notice.
Questions or Complaints
Green Vision Care
255 Center St
Seville, OH 44273
Phone: (330) 778-9499
Email: info@GreenVisionCare.com