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.
Originally effective: October 2024
This version effective: 14 August 2026
Style Site Optical is required by law to maintain the privacy of your protected health information (PHI), to give you this notice of our legal duties and privacy practices, and to follow the terms of the notice currently in effect.
How we may use and disclose your health information without your authorization
Treatment
We use your health information to provide eye care. For example, your optometrist reviews your records before an exam, and we may share information with another doctor we refer you to — such as a retinal specialist or surgeon — so they can continue your care.
Payment
We use and disclose your health information to bill and collect payment. For example, we send your insurance plan details of your visit and the services performed so your claim can be processed, and we may confirm your coverage before an appointment.
Health care operations
We use your health information to run the practice — reviewing quality of care, training staff and students, business planning, and administrative functions.
Appointment reminders and treatment options
We may contact you by phone, text, email or post to remind you of an appointment, to tell you your glasses or contact lenses are ready, or to tell you about treatment options and health-related benefits that may interest you.
Others involved in your care
Unless you object, we may share information relevant to your care with a family member, friend or other person you involve — for example, someone who collects your glasses for you. For a minor patient we share information with a parent or guardian as permitted by Florida law.
Other permitted or required disclosures
The law allows or requires us to disclose your health information in certain circumstances, including: public health activities; reporting suspected abuse, neglect or domestic violence; health oversight activities such as audits and investigations; judicial and administrative proceedings in response to a court order or lawful subpoena; law enforcement purposes; to coroners, medical examiners and funeral directors; organ and tissue donation; approved research; to avert a serious threat to health or safety; specialised government functions including military and national security; and workers’ compensation claims.
Uses that require your written authorization
We will obtain your written authorization before we use or disclose your health information for marketing purposes, before we sell your health information, and for most uses of psychotherapy notes. You may revoke an authorization in writing at any time, except to the extent we have already acted on it.
Your rights regarding your health information
- Right to inspect and copy. You may inspect and obtain a copy of your records, including an electronic copy where we hold them electronically. We may charge a reasonable, cost-based fee.
- Right to request an amendment. If you believe information in your record is incorrect or incomplete, you may ask us to amend it. We may deny your request, and you may then submit a statement of disagreement.
- Right to an accounting of disclosures. You may request a list of certain disclosures we have made of your health information.
- Right to request restrictions. You may ask us to limit how we use or disclose your information. We are not required to agree, except in one case: if you pay for a service in full out of pocket, you may require us not to disclose that information to your health plan, and we must comply.
- Right to confidential communications. You may ask us to contact you in a specific way or at a specific address — for example, only by mobile phone, or at a work address. We will accommodate reasonable requests.
- Right to a paper copy of this notice. You may ask for a paper copy at any time, even if you agreed to receive it electronically.
- Right to be notified of a breach. We will notify you if a breach occurs that compromises the privacy or security of your information.
To exercise any of these rights, contact our Privacy Officer using the details below. Most requests must be made in writing.
Our responsibilities
We are required by law to maintain the privacy and security of your health information, to notify you promptly if a breach occurs, to follow the duties and privacy practices described in this notice, and to give you a copy of it. We will not use or share your information other than as described here unless you tell us in writing that we may.
Changes to this notice
We may change this notice at any time, and the changes will apply to all information we hold. The revised notice will be posted on this page and displayed in our office, and you may request a copy at any time. The effective date is shown at the top. This notice replaces our previous notice, which has been in effect since October 2024.
How to complain
If you believe your privacy rights have been violated, you may complain to us using the contact details below, or file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, 200 Independence Avenue S.W., Washington, D.C. 20201, by calling 1-877-696-6775, or at hhs.gov/ocr/complaints.
You will not be penalised or retaliated against in any way for filing a complaint.
Contact
Privacy Officer
Style Site Optical
19013 Biscayne Blvd, Miami, FL 33180
(305) 727-3937
hello@stylesiteoptical.com
Se habla español. Puede solicitar una copia de este aviso en español.