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HIPAA Notice of Privacy Practices

Effective: January 2026 · Last updated: June 2026

Our Obligations

Federal law requires us to maintain the privacy of your protected health information (PHI) and to give you this notice of our privacy practices and legal duties.

How We Use and Disclose PHI

We may use your health information for treatment, payment, and care operations without separate written authorization. This covers sharing records with other treating providers, filing insurance claims, and internal quality review.

Your Rights

You may inspect and copy your records, request corrections, receive an accounting of certain disclosures, request limits on specific uses, and obtain this notice in paper form at any time.

Complaints

If you believe your privacy rights were violated, you may file a complaint with us or with the U.S. Department of Health and Human Services. We do not retaliate against anyone for filing a complaint.

Privacy Officer

Clear Vision Optometry, 123 Vision Blvd, San Francisco, CA 94102

hello@clearvisionoptometry.com · +1 (415) 555-2020