Effective date of notice: 04-14-03
NOTICE OF PRIVACY PRACTICES
Advanced Vision Care, 30 Main Street, Suite 120, Burlington, VT 05401
Fax (802) 864-0893
Contact: Cheryl Stocks
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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.
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We respect our legal obligation to keep health information that identifies you private. We are
obligated by law to give you notice of our privacy practices. This Notice describes how we protect your
health information and what rights you have regarding it.
TREATMENT, PAYMENT, AND HEALTH CARE OPERATIONS
The most common reason why we use or disclose your health information is for treatment, payment or
health care operations. Examples of how we use or disclose information for treatment purposes are:
setting up an appointment for you; testing or examining your eyes; prescribing glasses, contact lenses, or
eye medications and faxing them to be filled; referring you to another doctor or clinic for eye care or
services; or getting copies of your health information from another professional that you may have seen
before us. Examples of how we use or disclose your health information for payment purposes are: asking
you about your health or vision care plans, or other sources of payment; preparing and sending bills or
claims; and collecting unpaid amounts (either ourselves or through a collection agency or attorney).
“Health care operations” mean those administrative and managerial functions that we have to do in order to
run our office. Examples of how we use or disclose your health information for health care operations are:
financial or billing audits; internal quality assurance; personnel decisions; participation in managed care
plans; defense of legal matters; business planning; and out