NOTICE OF PRIVACY PRACTICES
The Optical Collective
Effective Date: March 02, 2026
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.Our Commitment to Your Privacy
The Optical Collective is committed to protecting the privacy and confidentiality of your health information. This Notice describes how we may use and disclose your protected health information (PHI) and explains your rights under federal law.
We are required by law to:
Maintain the privacy of your protected health information
Provide you with this Notice of our legal duties and privacy practices
Abide by the terms of this Notice currently in effect
How We May Use and Disclose Your Health Information
We may use and disclose your health information for the following purposes without your written authorization:
1. TreatmentWe may use and share your information to provide, coordinate, or manage your eye care and related services. For example, we may share information with another healthcare provider involved in your care.
2. PaymentWe may use and disclose your information to obtain payment for services provided. For example, we may submit claims to your insurance company that include details of your examination or treatment.
3. Healthcare OperationsWe may use your information for practice operations, including quality assessment, staff training, accreditation, licensing, and general administrative activities.
Other Permitted and Required Disclosures
We may disclose your health information without your authorization in the following situations:
As required by federal or state law
For public health activities
To report abuse, neglect, or domestic violence
For health oversight activities
For judicial or administrative proceedings
For law enforcement purposes
To avert a serious threat to health or safety
For workers’ compensation claims
To coroners, medical examiners, or funeral directors as required
Uses and Disclosures Requiring Your Authorization
We will obtain your written authorization before:
Using or disclosing your information for marketing purposes
Selling your protected health information
Disclosing psychotherapy notes (if applicable)
Making disclosures not otherwise described in this Notice
You may revoke your authorization at any time in writing.
Your Rights Regarding Your Health Information
You have the following rights:
Right to Inspect and CopyYou have the right to inspect and request a copy of your medical records, with limited exceptions.
Right to Request an AmendmentYou may request that we amend information you believe is incorrect or incomplete.
Right to Request RestrictionsYou may request restrictions on certain uses or disclosures. We are not required to agree to all requested restrictions.
Right to Confidential CommunicationsYou may request that we contact you in a specific way (for example, only at work or by mail).
Right to an Accounting of DisclosuresYou may request a list of certain disclosures made outside of treatment, payment, or healthcare operations.
Right to a Paper Copy of This NoticeYou may request a paper copy of this Notice at any time, even if you have agreed to receive it electronically.
Our Duties
We are required to:
Maintain the privacy and security of your protected health information
Notify you if a breach occurs that may have compromised your information
Follow the terms of this Notice
We reserve the right to change this Notice at any time. Any revised Notice will apply to all health information we maintain and will be made available in our office and on our website.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with:
Privacy Officer
The Optical Collective
Phone: 512.327.3605
Email: drphan@theopticalcollective.com
Address: 2712 Bee Caves Rd Ste 118 Austin, TX 78746
You may also file a complaint with the U.S. Department of Health and Human Services.
We will not retaliate against you for filing a complaint.
Contact Information
If you have questions about this Notice, please contact:
Privacy Officer
The Optical Collective Phone: 512.327.3605
Email: drphan@theopticalcollective.com