HIPAA Notice of Privacy Practices

Updated November 25, 2025

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.

Summary

Your Rights

You have the right to:

• Get a copy of your paper or electronic medical record
• Correct your paper or electronic medical record
• Request confidential communication
• Ask us to limit the information we share
• Get a list of those with whom we’ve shared your information
• Get a copy of this privacy notice
• Choose someone to act for you
• File a complaint if you believe your privacy rights have been violated

Your Choices

You have some choices in the way that we use and share information as we:

• Tell family and friends about your condition
• Use or disclose information for marketing purposes
• Share information in situations requiring your authorization

Our Uses and Disclosures

We may use and share your information to treat you, run our organization, bill for your services, help with public health and safety issues, do research, comply with the law, respond to organ and tissue donation requests, work with a medical examiner or funeral director, address workers’ compensation and government requests, and respond to lawsuits and legal actions.

Your Rights in Detail

Get an electronic or paper copy of your medical record

You can ask to see or get an electronic or paper copy of your medical record. We will provide a copy or summary of your health information, usually within 30 days for in-house documents and 60 days for off-site documents. We may charge a reasonable, cost-based fee.

Address requests to:
Attn: Physicians
One Day Cataract Institute
7101 Northwest Expressway, Suite 343
Oklahoma City, OK 73132

Ask us to correct your medical record

You can ask us to correct health information you believe is incorrect or incomplete. We may say “no” to your request, but we’ll tell you why in writing within 60 days.

Request confidential communications

You can ask us to contact you in a specific way or send mail to a different address. We will say “yes” to all reasonable requests.

Ask us to limit what we use or share

You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree if it would affect your care. If you pay for a service in full out of pocket, you can ask us not to share that information with your health insurer.

Get a list of those with whom we’ve shared information

You can ask for an accounting of disclosures for the six years prior to the date you ask. We’ll provide one accounting per year for free.

Choose someone to act for you

If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.

File a complaint

You can complain if you feel your rights have been violated by contacting our Privacy Officer. You can also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights at 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/. We will not retaliate against you for filing a complaint.

Our Uses and Disclosures

Treat you

We can use your health information and share it with other professionals who are treating you.

Run our organization

We can use and share your health information to run our practice, improve your care, and contact you when necessary.

Bill for your services

We can use and share your health information to bill and get payment from health plans or other entities.

Public health and safety, research, legal compliance, and other permitted uses

We are allowed or required to share your information for public health and safety, research, compliance with the law, organ and tissue donation, work with medical examiners or funeral directors, workers’ compensation, law enforcement, government functions, and in response to lawsuits or legal actions.

Our Responsibilities

• We are required by law to maintain the privacy and security of your protected health information.
• We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
• We must follow the duties and privacy practices described in this notice and give you a copy of it.
• We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time.

Changes to This Notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our website.

Contact

Privacy Officer
One Day Cataract Institute
7101 Northwest Expressway, Suite 343
Oklahoma City, OK 73132
Phone: (405) 563-1544