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HIPAA Notice

Your Privacy is Important To Us.


The Purpose of this Notice

Dr. Tammy Holsclaw-Jones is committed to protecting the privacy of your personal Protected Health and your personal Protected Health Information (PHI). We create and maintain a record of your PHI in connection with the health care services you receive with us. We will safeguard the privacy of your PHI. This Notice tells you about:

  1. Our legal duties regarding your PHI
  2. How we may use and disclose your PHI
  3. Your rights concerning your PHI
  4. Contact information for you to get more information about the matters covered by this Notice or make a complaint if you believe your privacy rights have been violated.


  1. Our Legal Duties Regarding Your PHI

The following describes our legal duties regarding your PHI:

Dr. Tammy Holsclaw-Jones is required by law to maintain the privacy of your PHI, to provide you with this Notice of our legal duties and privacy practices with respect to your PHI and to notify you if there is a breach of your unsecured PHI. We are required to abide by the terms of this Notice at all times it is in effect. We reserve the right to change the terms of this Notice and to make the new Notice provisions effective for all PHI we maintain about you. Our current Notice of Privacy Practices, including future revisions, will always be posted in a clear and prominent location in our facility, be available in a printed form for you to take with you and posted on our website if we maintain a website. You have the right to receive a paper copy of this Notice even if you have agreed to receive this Notice electronically and you may ask us to give you a copy of our current Notice at any time. If you have any questions about our Privacy Practices or require further information about matters covered by this Notice or if you want to make a complaint that your privacy rights have been violated please see Section 4, Contact Information, at the end of this Notice.

  1. How We May Use and Disclose Your PHI

The following are descriptions of the ways that we may use and disclose your PHI. We will describe each category of uses or disclosures to explain what is permitted or required by applicable law.

Use and Disclosure of Your PHI for Your Treatment

We may use and/or disclose your PHI to health care personnel who are involved in your care and who will provide you with health care treatment or services. For example, a doctor may need to look at your medical record before treating you or your PHI may be disclosed to another health care provider to whom you have been referred to ensure that the provider has the necessary information to diagnose and treat you.

Use and Disclosure of Your PHI for Payment for Health Services that You Receive

We may use and/or disclose your PHI to bill and receive payment for the health care treatment or services that you receive from us. For example, we may provide your PHI to our billing staff to prepare a bill or statement to send to you, your health insurance company, including Medicare or Medicaid, or another entity or person that may be responsible for payment for your health services.

Use and Disclosure of Your PHI for Our Health Care Operations

We may use and disclose medical information about you for our own health care operations. These uses and disclosures are made to help us assess and improve the quality of health care treatment and services we provide. These activities are referred to as health care operations. We may use and/or disclose your PHI as necessary for purposes of these health care operations. For example, we may conduct a review of your PHI in order to evaluate our performance in caring for you and find ways we might improve or make our services more efficient.

Use and Disclosure of Your PHI to Our Business Associates

We may provide your PHI to persons or entities that are not members of our workforce but that assist us by providing certain functions that require they create, receive, maintain or transmit your PHI. These persons are referred to as Business Associates and they provide various services to or for us or on our behalf, such as billing, transcription, software maintenance and legal services. Our Business Associates are required by law and by contract to maintain the privacy and security of your PHI.

Insurance Information

Our office works with many insurance carriers.

To see if we work with your insurance carrier or vision care plan, please call our office for assistance. Our friendly and informed staff will be happy to answer any questions you may have.

*We also offer financing with Care Credit.