Notice of Privacy Practices

NOTICE OF PRIVACY PRACTICES

Updated September 8, 2026
This notice explains how medical information about you may be used and disclosed, your rights regarding that information, and Eclipse Eye Care's responsibilities.

Important: HIPAA generally allows Eclipse Eye Care to use and disclose protected health information (PHI) for treatment, payment, and health care operations without obtaining a separate written authorization. We ask you to acknowledge receipt of this Notice, but your treatment is not conditioned on signing that acknowledgment.

YOUR RIGHTS

You have rights regarding the health information Eclipse Eye Care maintains about you. To exercise a right, contact our Privacy Officer using the information at the top of this Notice.

Access your records

• You may ask to inspect or receive an electronic or paper copy of medical and billing records in our designated record set, subject to limited legal exceptions.

• We will respond within the time required by applicable federal and Texas law. We may charge only fees permitted by law for copies or agreed-upon summaries.

Request a correction

• You may ask us to amend information you believe is incorrect or incomplete. We may deny a request in circumstances permitted by law, but we will explain a denial in writing and tell you about your right to submit a statement of disagreement.

Request confidential communications

• You may ask us to contact you in a reasonable alternative way or at a different address. We will accommodate reasonable requests as required by law.

Ask us to limit certain uses or disclosures

• You may ask us to restrict certain uses or disclosures for treatment, payment, or health care operations. We are generally not required to agree, except where the law requires otherwise.

• If you pay in full out-of-pocket for a specific item or service, you may ask us not to disclose information about that item or service to your health plan for payment or health care operations. We will honor the request unless disclosure is required by law.

Receive an accounting of certain disclosures

• You may request a list of certain disclosures of your health information made during the six years before your request. The accounting does not include every disclosure, such as many disclosures for treatment, payment, or health care operations. One accounting in a 12-month period is provided without charge.
  
  

Receive this Notice and choose a representative

• You may obtain a paper copy of this Notice at any time, even if you received it electronically.

• A legally authorized personal representative may exercise your privacy rights when we verify that person's authority.
  
  
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