Privacy Notice

NOTICE OF PRIVACY PRACTICES FOR BELLPORT PERSPECTIVE EYE CARE.

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.

Bellport Perspective Eye Care/B. Cho Optometry PLLC may use and disclose your medical information for different purposes, all of which are described below. The examples are provided to illustrate the types of disclosure.

OTHER REQUIRED OR PERMITTED DISCLOSURES

OTHER USES OR DISCLOSURES WITH AN AUTHORIZATION
Other uses or disclosures of your medical information will be made only with your written authorization. Most uses and disclosures of psychotherapy notes, uses and disclosures for marketing, and disclosures that would be a sale of medical information require your authorization. If you provide Bellport Perspective Eye Care with authorization to use or disclose medical information about you for purposes other than those listed above, you may revoke that authorization at any time by providing a written request to do so. If you revoke your authorization, we will no longer use or disclose medical information about you for the reasons covered by your written authorization. You understand that we are unable to take back any disclosures we have made already with your permission.

YOUR RIGHTS REGARDING YOUR MEDICAL INFORMATION
You have certain rights regarding medical information that Bellport Perspective Eye Care obtains about you.

Bellport Perspective Eye Care/B.Cho Optometry PLLC’S LEGAL OBLIGATIONS
The federal privacy regulations require us to keep medical information about you private, to give you notice of our legal duties and privacy practices and to follow the terms of the notice currently in effect. We may change the terms of this notice and our privacy policies at any time. If we do, the new terms and policies will then apply to the medical information we maintain. If we make any material changes, we will distribute a new notice to our patients. We also post a copy of our current notice on our website at www.bellporteyecenter.com.

CONTACT Bellport Perspective Eye Care/B. Cho Optometry PLLC.
If you have any complaints or questions about this Notice or you want to submit a written request to Bellport Perspective Eye Care regarding your medical information, please contact:
Brian Cho
B.Cho Optometry PLLC
5 Bellport Lane
Bellport, NY 11713
Telephone: (631) 286-4014