At Dubuque Family Eye Care, we are committed to protecting the privacy and security of our patients’ personal and health information in compliance with the requirements of the Health Insurance Portability and Accountability Act (HIPAA).
Use and Disclosure of Protected Health Information (PHI)

  1. Use for Treatment, Payment, and Health Care Operations: We may use and disclose your PHI for treatment, payment, and health care operations purposes without your consent. This includes, but is not limited to, diagnosis, treatment, obtaining payment for services, and conducting quality assessment and improvement activities.
  2. Authorization for Other Uses: Uses and disclosures not described in this policy will be made only with your written authorization, which you may revoke at any time, except to the extent that we have already taken action relying on the authorization.

Your Rights Regarding PHI

  1. Right to Access and Copies: You have the right to access and obtain a copy of your PHI.
  2. Right to Amend: If you believe the PHI we have about you is incorrect or incomplete, you may ask us to amend the information.
  3. Right to an Accounting of Disclosures: You have the right to request an accounting of certain disclosures we have made of your PHI.
  4. Right to Request Restrictions: You have the right to request a restriction or limitation on the PHI we use or disclose for treatment, payment, or health care operations.

Our Responsibilities

  • We are required by law to maintain the privacy of your PHI and provide you with this notice of our legal duties and privacy practices.
  • We will notify you if there is a breach of your unsecured PHI.
  • We will not use or disclose your PHI other than as described here unless you authorize us in writing to do otherwise.
    Changes to This Notice
    We reserve the right to change this notice and make the new notice apply to PHI we already hold as well as any information we receive in the future.
    For any questions or complaints about this policy, please contact:
    Dubuque Family Eye Care HIPAA compliance at: [email protected]