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.
Treatment: Your health information may be used by staff members or disclosed to other healthcare professionals for the purpose of evaluating your health, diagnosing medical conditions and providing treatment. For example, results of laboratory tests and procedures will be available in your medical record to all health professionals who may provide treatment or who may be consulted by staff members.
Payment: Your health information may be used to seek payment from your health plan, from other sources of coverage such as an automobile insurer, or from credit card companies that you may use to pay for services. For example, your health plan may request and receive information on dates of service, the services provided and the medical condition being treated.
Healthcare Operations: Your health information may be used as necessary to support the day-to-day activities and management of the Atlanta Vision Institute.
For example, information on the services you received may be used to support budgeting and financial reporting, and activities to evaluate and promote quality.
Law Enforcement: Your health information may be disclosed to law enforcement agencies to support government audits and inspections, to facilitate law-enforcement investigations, and to comply with government-mandated reporting.
Public Health Reporting: Your health information may be disclosed to public health agencies as required by law. For example, we are required to report certain communicable diseases to the state’s public health department.
Other uses and disclosures require your authorization: Disclosure of your health information or its use for any purpose other than those listed above requires your specific written authorization. If you change your mind after authorizing a use or disclosure of your information, you may submit a written revocation of the authorization. However, your decision to revoke the authorization will not affect or undo any use of disclosure of information that occurred before you notified us of your decision to revoke your authorization.
Appointment reminders: Your health information will be used by our staff to send you appointment reminders.
Information about treatments: Your health information may be used to send you information that you may find interesting on the treatment and management of your medical condition. We may also send you information describing other health-related products and services that we believe may interest you.
Fundraising: Unless you request us not to, we will use your name and address to support our fundraising efforts. If you do not want to participate in fundraising efforts, please check off the selected box on the consent page that indicates, “Please do not use my information for fundraising purposes.”
You have certain rights under the federal privacy standards. These include:
We are required by law to maintain the privacy of your protected health information and to provide you with this notice of privacy practices.
We also are required to abide by the privacy policies and practices that are outlined in this notice.
As permitted by law, we reserve the right to amend or modify our privacy policies and practices. These changes in our policies and practices may be required by changes in federal and state laws and regulations. Upon request, we will provide you the most recently revised notice on any office visit. The revised policies and practices will be applied to all protected health information we maintain.
You may generally inspect or copy the protected health information that we maintain. As permitted by federal regulation, we require that requests to inspect or copy protected health information be submitted in writing. You may obtain a form to request access to your records by contacting our Privacy Officer. Your request will be reviewed and will generally be approved unless there are legal or medical reasons to deny the request.
If you would like to submit a comment or complaint about our privacy practices, you can do so by sending a letter outlining your concerns to:
The Atlanta Vision Institute
11459 Johns Creek Pkwy, Ste 100
Johns Creek, GA 30097
If you believe that your privacy rights have been violated, you should call the matter to our attention by sending a letter describing the cause of your concern to the same address. You will not be penalized or otherwise retaliated against for filing a complaint.
The name and address of the person you can contact for further information concerning our privacy practice is:
The Atlanta Vision Institute
11459 Johns Creek Pkwy, Ste 100
Johns Creek, GA 30097
This Notice has been effective since April of 2003 and has since then been revised and kept current to date: November 2015.
We are pleased that you are visiting our website and thank you for your interest. In the following we inform you about:
Personal data are all data with which you can be personally identified. When contacting us through the website (via form or email), your personal data is collected. This data is stored and used exclusively for the purpose of responding to your request and communicating with you as needed. For security reasons and to protect the transmission of personal data and other confidential contents (e.g. orders or requests to the responsible person), this website uses SSL or TLS encryption. You can recognize an encrypted connection by the character string “https://” and the lock symbol in your browser line.
To delete or modify any data in which you could personally be identified contact email@example.com. We will respond to your request promptly.
When using our website for information purposes only, i.e. if you do not register or otherwise provide us with information, we only collect data that your browser transmits to our server (so-called “server log files”). When you visit our website, we collect the following data that is technically necessary for us to display the website to you:
Google: Our website uses Google Analytics, a service which transmits website traffic data to Google servers in the United States. Google Analytics does not identify individual users or associate your IP address with any other data held by Google. We use reports provided by Google Analytics to help us understand website traffic and web page usage. Google Analytics Opt-Out Add-on.
Other cookies remain on your terminal and enable us or our partner companies (third-party cookies) to recognize your browser on your next visit; when we work with the aforementioned advertising partners, you will be individually and separately informed about the use of such cookies. Please note that if you do not accept cookies, the functionality of our website may be limited. To remove, block or learn more about your browser’s cookie settings, please visit your browser’s settings.
This website uses the Youtube embedding function to display and play videos from the provider “Youtube”, which belongs to Google LLC, 1600 Amphitheatre Parkway, Mountain View, CA 94043, USA (“Google”).
According to “Youtube”, these serve, among other things, to collect video statistics, to improve user-friendliness and to prevent abusive practices. If you are logged in to Google, your information will be directly associated with your account when you click on a video. If you do not wish to be associated with your profile on YouTube, you must log out before activating the button. Google saves your data (even for users who are not logged in) as usage profiles and evaluates them.
Regardless of the playback of the embedded videos, every time this website is accessed, a connection to the Google network “DoubleClick” is established, which can trigger further data processing operations without our influence.
Google LLC, based in the USA, is certified for the US European data protection agreement “Privacy Shield”, which guarantees compliance with the data protection level applicable in the EU. Further information on data protection at “YouTube” can be found in the provider’s data protection declaration at https://www.google.de/intl/de/policies/privacy.
Google Maps: On our website we use Google Maps (API) from Google LLC, 1600 Amphitheatre Parkway, Mountain View, CA 94043, USA (“Google”). Google Maps is a web service for displaying interactive (country) maps in order to display geographical information visually. By using this service you will be able to see our location and to find us easily.
When you access the sub-pages that contain the Google Maps map, information about your use of our website (such as your IP address) is transmitted to and stored by Google on servers in the United States. This is regardless of whether Google provides a user account that you are logged-in from or whether no user account exists If you are logged in to Google, your information will be directly associated with your account. If you do not wish to be associated with your profile on Google, you must log out before activating the button. Google saves your data (even for users who are not logged in) as usage profiles and evaluates them. Such an evaluation takes place in particular according to art. 6 para. 1 lit.f DSGVO on the basis of the legitimate interests of Google in the insertion of personalised advertising, market research and/or demand-oriented design of its websiteYou have the right to object to the creation of these user profiles, however, you must contact Google to exercise this right.
Google LLC, based in the USA, is certified for the US-European data protection agreement “Privacy Shield”, which guarantees compliance with the data protection level applicable in the EU.
Google Web Fonts: This website may or may not use web fonts provided by Google LLC, 1600 Amphitheatre Parkway, Mountain View, CA 94043, USA (“Google”) to uniformly display fonts. When you call up a page, your browser loads the required Web fonts into its browser cache to display texts and fonts correctly.
To do this, the browser you are using must connect to Google’s servers. This gives Google knowledge that our website has been accessed via your IP address. The use of Google Web Fonts is in the interest of a uniform and appealing presentation of our online offers. This represents a legitimate interest within the meaning of Art. 6 para. 1 lit. f DSGVO. If your browser does not support web fonts, a default font is used by your computer. Google LLC, based in the USA, is certified for the US European data protection agreement “Privacy Shield”, which guarantees compliance with the data protection level applicable in the EU.
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