Privacy
Arizona Pediatric Eye Specialists, PLC, is committed to privacy and promises to respect your
privacy. We will not collect any personally identifiable information about visitors unless it is
provided voluntarily. Our site does not use cookies and we do not require you to register in
order to use the site. E-mails sent via this website are not secure, nor are they transmitted
by a secure connection. However, they should not contain specific personal information (i.e.
Birthday or SSN) that could be used maliciously. The information you submit is not shared
with outside companies. Any information shared by visitors to the website is not shared with
any other entities. This site contains links to other sites. We are not responsible for their
privacy practices or content.
PROVIDER NOTICE OF INFORMATION PRACTICES
Uses and Disclosures of Health Information:
We use health information about you for treatment, to obtain payment for treatment, for
administrative purposes, and to evaluate the quality of care that you receive.
We may use or disclose identifiable health information about you without your authorization
for several other reasons. Subject to certain requirements, we may give out health
information without your authorization for public health purposes, for auditing purposes, for
research studies, and for emergencies. We provide information when otherwise required by
law, such as for law enforcement in specific circumstances. In any other situations, we will
ask for your written authorization before using or disclosing any identifiable health
information about you. If you choose to sign an authorization to disclose information, you
can later revoke that authorization to stop further uses and disclosures.
We may change our policies at any time. Before we make a significant change in our
policies, we will change our notice and post the new notice in the waiting area and in each
examination room. You can also request a copy of our notice at any time. For more
information about out privacy practices, contact the person listed below.
Individual Rights:
In most cases, you have the right to look at or get a copy of health information about you
that we use to make decisions about you. If you request copies, we will charged a nominal
fee. You also have the right to receive a list of instances where we have disclosed health
information about you for reasons other than treatment, payment or related administrative
purposes. If you believe that information in your record is incorrect or if important
information is missing, you have the right to request that we correct the existing information
or add the missing information.
You may request in writing that we not use or disclose your information for treatment,
payment, and administrative purposes except when specifically authorized by you, when
required by law, or in emergency circumstances. We will consider your request but are not
legally required to accept it.
Complaints:
If you are concerned that we have violated your privacy rights, or you disagree with a
decision we made about access to your records, you may contact the person listed below.
You also may send a written complaint to the U.S. Department of Health and Human
Services. The person listed below can provide you with the appropriate address upon
request.
Our Legal Duty:
We are required by law to protect the privacy of your information, provide this notice about
our information practices and follow the information practices that are described in this
notice.
If you have any questions or complaints, please contact: Jerry Richardson at 480-835-0709
or P. O. Box 16455 Mesa, AZ 85201.
privacy. We will not collect any personally identifiable information about visitors unless it is
provided voluntarily. Our site does not use cookies and we do not require you to register in
order to use the site. E-mails sent via this website are not secure, nor are they transmitted
by a secure connection. However, they should not contain specific personal information (i.e.
Birthday or SSN) that could be used maliciously. The information you submit is not shared
with outside companies. Any information shared by visitors to the website is not shared with
any other entities. This site contains links to other sites. We are not responsible for their
privacy practices or content.
PROVIDER NOTICE OF INFORMATION PRACTICES
Uses and Disclosures of Health Information:
We use health information about you for treatment, to obtain payment for treatment, for
administrative purposes, and to evaluate the quality of care that you receive.
We may use or disclose identifiable health information about you without your authorization
for several other reasons. Subject to certain requirements, we may give out health
information without your authorization for public health purposes, for auditing purposes, for
research studies, and for emergencies. We provide information when otherwise required by
law, such as for law enforcement in specific circumstances. In any other situations, we will
ask for your written authorization before using or disclosing any identifiable health
information about you. If you choose to sign an authorization to disclose information, you
can later revoke that authorization to stop further uses and disclosures.
We may change our policies at any time. Before we make a significant change in our
policies, we will change our notice and post the new notice in the waiting area and in each
examination room. You can also request a copy of our notice at any time. For more
information about out privacy practices, contact the person listed below.
Individual Rights:
In most cases, you have the right to look at or get a copy of health information about you
that we use to make decisions about you. If you request copies, we will charged a nominal
fee. You also have the right to receive a list of instances where we have disclosed health
information about you for reasons other than treatment, payment or related administrative
purposes. If you believe that information in your record is incorrect or if important
information is missing, you have the right to request that we correct the existing information
or add the missing information.
You may request in writing that we not use or disclose your information for treatment,
payment, and administrative purposes except when specifically authorized by you, when
required by law, or in emergency circumstances. We will consider your request but are not
legally required to accept it.
Complaints:
If you are concerned that we have violated your privacy rights, or you disagree with a
decision we made about access to your records, you may contact the person listed below.
You also may send a written complaint to the U.S. Department of Health and Human
Services. The person listed below can provide you with the appropriate address upon
request.
Our Legal Duty:
We are required by law to protect the privacy of your information, provide this notice about
our information practices and follow the information practices that are described in this
notice.
If you have any questions or complaints, please contact: Jerry Richardson at 480-835-0709
or P. O. Box 16455 Mesa, AZ 85201.
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ARIZONA PEDIATRIC EYE SPECIALISTS