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A to Z Eyecare
Main office
851 Bayside Rd
Arcata, CA 95521
USA Tel: (707) 822-7641
Fax: (707) 822-5883

Privacy Statement

Notice of Privacy Practices
Effective date of notice: 04/14/2003
A to Z Eye Care—Optometric Associates
851 Bayside Road
Arcata, CA 95521
(707) 822-7641
Fax: (707) 822-4551 Email: optomestrists@atozeyecare.com

This notice describes how medical information about you may be used and disclosed,
and how you can obtain access to this information. Please review it carefully.

General Rule
We respect our legal obligation to keep health information, that identifies you, private. The law obligates us to give you notice of our privacy practices.
Generally, we can only use your health information in our office or disclose it outside of our office, without your written permission, for purposes of treatment, payment or healthcare operations. In most other situations, we will not use or disclose your health information unless you sign a written authorization form. In some limited situations, the law allows or requires us to disclose your health information without written authorization.

Uses or Disclosures of Health Information
Examples of how we use information for treatment purposes:
• When we set up an appointment for you.
• When our technician or doctor tests your eyes.
• When the doctor prescribes glasses or contact lenses.
• When the doctor prescribes medication.
• When our staff helps you select and order glasses or contact lenses.
• When we show you low vision aids.

We may disclose your health information outside of our office for treatment purposes, for example:
• If we refer you to another doctor or clinic for eye care or low vision aids or services.
• If we send a prescription for glasses or contacts to another professional to be filled.
• When we provide a prescription for medication to a pharmacist.
• When we phone to let you know that your glasses or contact lenses are ready to be picked up.

Sometimes we may ask for copies of your health information from another professional that you may have seen before.

We may use your health information within our office or disclose your health information outside of our office for payment purposes. Some examples are:
• When our staff asks you about health or vision care plans that you may belong to, or about other sources of payment for our services.
• When we prepare bills to send to you or your health or vision care plan.
• When we process payment by credit card and when we try to collect unpaid amounts due.
• When bills or claims for payment are mailed, faxed, or sent by computer to you or your health or vision plan.
• When we occasionally have to ask a collection agency or attorney to help us with unpaid amounts due.

We use and disclose your health information for healthcare operations in a number of ways. Health care operations means those administrative and managerial functions that we have to do in order to run our office. We may use or disclose your health information, for example, for financial or billing audits, for internal quality assurance, for personnel decisions, to enable our doctors to participate in managed care plans, for the defense of legal matters, to develop business plans, and for outside storage of our records.

Appointment Reminders
We may call to remind you of scheduled appointments. We may also call to notify you of other treatments or services available at our office that might help you.

Uses & Disclosures without an Authorization
In some limited situations, the law allows or requires us to use or disclose your health information without your permission. Not all of these situations will apply to us; some may never happen at our office at all. Such uses or disclosures are:
• A state or federal law that mandates certain health information be reported for a specific purpose.
• Public health purposes, such as contagious disease reporting, investigation or surveillance; and notices to and from the Food and Drug Administration regarding drugs or medical devices.
• Disclosures to governmental authorities about victims of suspected abuse, neglect or domestic violence.
• Uses and disclosures for health oversight activities, such as for the licensing of doctors, audits by Medicare or Medicaid, or investigation of possible violations of healthcare laws.
• Disclosures for judicial and administrative proceedings, such as in response to subpoenas or orders of courts or administrative agencies.
• Disclosures for law enforcement purposes, such as to provide information about someone who is or is suspected to be a victim of a crime; to provide information about a crime at our office; or to report a crime that happened somewhere else.
• Disclosure to a medical examiner to identify a dead person or to determine the cause of death; or to funeral directors to aid in burial; or to organizations that handle organ or tissue donations.
• Uses or disclosures for health related research.
• Uses and disclosures to prevent a serious threat to health or safety.
• Uses or disclosures for specialized government functions, such as for the protection of the president or high ranking government officials; for lawful national intelligence activities; for military purposes; or for the evaluation and health of members of the foreign service.
• Disclosures relating to workers’ compensation programs.
• Disclosures to business associates who perform healthcare operations for us and who agree to keep your health information private.

Other Disclosures
We will not make any other uses or disclosures of your health information unless you sign a written authorization form. You do not have to sign such a form. If you do sign one, you may revoke it at any time unless we have already acted in reliance upon it.

Your Rights Regarding Your Health Information
The law gives you many rights regarding your health information.
• You can ask us to restrict our uses and disclosures for purposes of treatment (except emergency treatment), payment or healthcare operations. We do not have to agree to do this, but if we agree, we must honor the restrictions that you want. To ask for a restriction, send a written request to A to Z Eye Care—Optometric Associates at the address, fax or e-mail shown at the beginning of this notice.
• You can ask us to communicate with you in a confidential way, such as by phoning you at work rather than at home, by mailing health information to a different address, or by using e-mail to your personal email address. We will accommodate these requests if they are reasonable, and if you pay us for any extra cost. If you want to ask for confidential communications, send a written request to A to Z Eye Care—Optometric Associates at the address, fax or e-mail shown at the beginning of this notice.
• You can ask to see or to get photocopies of your health information. By law, there are a few limited situations in which we can refuse to permit access or copying. Primarily, however, you will be able to review or have a copy of your health information within 30 days of asking us. You may have to pay for photocopies in advance. If we deny your request, we will send you a written explanation, and instructions about how to get an impartial review of our denial if one is legally required. By law, we can have one 30-day extension of the time for us to give you access or photocopies if we sent you a written notice of the extension. If you want to review or get photocopies of your health information, send a written request to A to Z Eye Care—Optometric Associates at the address, fax or e-mail shown at the beginning of this notice.
• You can ask us to amend your health information if you think that it is incorrect or incomplete. If we agree, we will amend the information within 60 days from when you ask us. We will send the corrected information to persons who we know got the wrong information, and others that you specify. If we do not agree, you can write a statement of your position, and we will include it with your health information along with any rebuttal statement that we may write. Once your statement of position and/or rebuttal is included in your health information, we will send it along whenever we make a permitted disclosure of your health information. By law, we can have one 30-day extension of time to consider a request for amendment if we notify you in writing of the extension. If you want to ask us to amend your health information, send a written request, including your reasons for the amendment, to A to Z Eye Care—Optometric Associates at the address, fax or e-mail shown at the beginning of this notice.
• You can get a list of the disclosures that we have made of your health information within the past six years (or a shorter period if you want), except disclosures for purposes of treatment, payment or health care operations, disclosures made in accordance with an authorization signed by you, and some other limited disclosures. You are entitled to one such list per year without charge. If you want more frequent lists, you will have to pay for them in advance. We will usually respond to your request within 60 days of receiving it, but by law we can have one 30-day extension of time if we notify you of the extension in writing. If you want a list, send a written request to A to Z Eye Care—Optometric Associates at the address, fax or e-mail shown at the beginning of this notice.

Our Notice of Privacy Practices
By law, we must abide by the terms of this Notice of Privacy Practices until we choose to change it. We reserve the right to change this notice at any time in compliance with and as allowed by law. If we change this notice, the new privacy practices will apply to your health information that we already have, as well as to such information that we may generate in the future. If we change our Notice of Privacy Practices, we will post the new notice in our office, have copies available in our office.

Complaints
If you think that we have not properly respected the privacy of your health information, you are free to complain to us or to the U.S. Department of Health and Human Services, Office for Civil Rights. We will not retaliate against you if you make a complaint. If you want to complain to us, send a written complaint to A to Z Eye Care—Optometric Associates at the address, fax or e-mail shown at the beginning of this notice. If you prefer, you can discuss your complaint in person or by phone.

For More Information
If you want more information about our privacy practices, call or visit A to Z Eye Care—Optometric Associates at the address or phone number shown at the beginning of this notice.
Following is the Privacy statement for First Insight’s www.optometry.net. You may edit this copy for your site’s privacy statement or delete it and write your own. Thanks. First Insight Corporation
Site Terms/Privacy Statement for www.optometry.net

Welcome to First Insight® Corporation’s Optometry.net Web site (Site). These site terms (Site Terms) apply to your access to and use of the Site, so please read them carefully. They do not alter in any way the terms or conditions of any other written or online agreement you may have with First Insight Corporation (First Insight).

First Insight reserves the right to change or modify any terms and conditions of these Site Terms or any policy or guideline of the Site at any time and in its sole discretion. Any changes or modification to the Site Terms will be effective upon posting, and your use of the Site following such posting will constitute your acceptance.

BY ACCESSING, BROWSING, AND USING THIS SITE, YOU AGREE TO BE BOUND BY THE TERMS AND CONDITIONS DESCRIBED HEREIN AND ALL POLICIES AND GUIDELINES INCORPORATED HEREIN BY REFERENCE. IF YOU DO NOT AGREE TO THESE SITE TERMS, DO NOT ACCESS, BROWSE OR OTHERWISE USE THIS SITE.

If you have any questions regarding your access to or use of the Site, please first refer to the Frequently Asked Questions. Questions or comments about the Site should be directed to contactus@optometry.net.

Policies and Terms
Privacy Policy. First Insight strongly believes in protecting the information collected on this Site from unauthorized disclosure to third parties, and in providing you with notice of what type of information First Insight collects on this Site and how such information is used. Therefore, First Insight has adopted a Privacy Policy to which you should refer to fully understand how First Insight uses and collects information.

Limitation on Site Access
While accessing or using this Site, you may not engage in any activities prohibited by First Insight, which include, among other prohibitions and restrictions set forth in these Site Terms and without limitation: (a) any unauthorized resale or commercial use of the Site or content therein; (b) the collection, placement or use of any product or service listings or descriptions of this Site on any other Web site or publication for commercial use; (c) making unauthorized derivative uses of the Site and its contents; or (d) the use of any data mining, robots, or similar data gathering and extraction methods. Except as expressly provided for in these Site Terms, you are not conveyed any right or license by implication, estoppel, or otherwise in or under any patent, trademark, copyright, or proprietary right of First Insight or any third party.

You may not frame or use framing techniques to enclose any First Insight trademark, logo or other proprietary information (or products of First Insight’s) (including the images found at this Site, the content of any text or the layout/design of any page or form contained on a page) without First Insight’s express written consent. Further, you may not use any meta-tags or any other hidden text&gout; utilizing a First Insight name, trademark, or product name without First Insights express written consent.

Any unauthorized use of this Site will terminate any permission or license granted by these Site Terms regarding access and use of the Site, and may violate applicable law. All violators will be prosecuted to the fullest extent of the law.

Trademarks and Service Marks
First Insight, the First Insight logo, all page headers, custom graphics, button icons, scripts, the products and services described in this Site, and all other trademarks, registered trademarks, product names and First Insight names or logos or product names mentioned herein are either trademarks, service marks and/or trade dress of First Insight, its licensors or third party suppliers, and may not be copied, imitated or used, in whole or in part, without the prior written permission of First Insight or their respective owners. All other trademarks appearing in this Site are the property of the companies they represent.

Copyright
All copyrighted and copyrightable materials on this Site, including, without limitation, the First Insight logo, design, text, graphics, pictures, sound files and other files, and the selection and arrangement (Materials) thereof are ALL RIGHTS RESERVED Copyright ©2000 First Insight Corporation, its licensors or third party suppliers. Except as stated herein, none of the Materials may be copied, reproduced, distributed, republished, downloaded, displayed, posted or transmitted in any form or by any means, including, but not limited to, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of First Insight or the respective copyright owner. Permission is granted to display, copy, distribute and download one copy of the Materials on this Site for personal, non-commercial, and informational use only; provided that, you may not, without the permission of First Insight or the respective copyright owner, (a) copy, publish, or post any Materials on any computer network or broadcast or publications media, (b) modify the Materials, and© remove or alter any copyright and other proprietary notices contained in the Materials.

Copyright Complaints
First Insight respects the intellectual property of others. If you believe that your work has been copied and has been posted to this Site in a way that constitutes copyright infringement, please provide written notice to First Insights copyright agent at the following address:

Legal Department
First Insight Corporation
22845 NW Bennett Street
Building B, Suite 200
Hillsboro, OR 97124
800-920-1940 (Toll-free)
503-707-8484 (Fax)
contactus@optometry.net

Third-Party Content
Third Party Products, Services and Information. This Site includes third party content, including without limitation third party products, services, information, and links to third party Web sites (collectively, [Third Party Content]). By using this Site, you acknowledge and agree that First Insight is only providing you with access to such Third Party Content via the Site, and, except for providing you with such access, First Insight does not create, manufacture, produce, sell, offer for sale, modify, alter, change or have any control over or responsibility for such Third Party Content. First Insight makes no warranties or representations regarding any of the Third Party Content on this Site, and the availability of any Third Party Content on this Site does not constitute First Insights recommendation, endorsement or other affiliation between First Insight and such Third Party Content or third party. First Insight takes no responsibility and assumes no liability for any Third Party Content selected to be received by you from a third party, or for any delivery, fulfillment, defects, inaccuracies, mistakes, defamation, slander, libel, omissions, falsehoods, legality, decency or any other aspect of such Third Party Content. By accessing and using this Site, you disclaim and waive any and all claims against First Insight arising from or relating to your selection, ordering or use of such Third Party Content.

Selecting Third Party Content. Your right to order or receive any Third Party Content, and the specific terms and conditions under which the third party is willing to provide you such Third Party Content, is governed by the particular policies of the third party. When you order any Third Party Content or access a third partys Web site to select or order any products, services or information, you should carefully review the third partys policies regarding its provision of such products, services or information.

Enforcement. First Insight has the right, but not the obligation, to monitor any activity, information or content associated with its Site. First Insight may investigate any reported violation of its policies or complaints and take any action that it deems appropriate. Such action may include, but is not limited to, issuing warnings, suspension or termination of service, and/or removal of information or content. In order to cooperate with legitimate governmental requests, subpoenas or court orders, to protect First Insights systems and customers, or to ensure the integrity and operation of First Insights business and systems, First Insight may access and disclose any information it considers necessary or appropriate, including, without limitation, user profile information (e.g., name, e-mail address), IP addressing and traffic information, usage history, and content. First Insights right to disclose any such information shall govern over any terms of First Insights Privacy Policy.

This Site may include or provide links to discussion forums and interactive support areas. These forums and interactive areas shall be used only for authorized purposes. By using the forums or interactive areas, you agree not to do any of the following:

§ Upload to, distribute or otherwise publish through this Site any message, data, information, text or other material (Content) that is unlawful, libelous, defamatory, obscene, pornographic, indecent, lewd, harassing, threatening, harmful, invasive of privacy or publicity rights, abusive, inflammatory or otherwise objectionable;
§ Upload or transmit any Content that would constitute or encourage a criminal offense, violate the rights of any party, or that would otherwise create liability or violate any local, state, national, or international law;
§ Upload or transmit any Content that may infringe any patent, trademark, trade secret, copyright or other intellectual or proprietary right of any party. By posting any Content, you represent and warrant that you have the lawful right to distribute and reproduce such Content;
§ Impersonate any person or entity or otherwise misrepresent your affiliation with a person or entity; and
§ Without First Insights written permission, distribute or publish unsolicited promotions, advertising or solicitations for funds, goods or services, including junk mail and spam.
First Insight takes no responsibility and assumes no liability for any Content posted or uploaded by you or any third party, or for any mistakes, defamation, slander, libel, omissions, falsehoods, obscenity, pornography or profanity you may encounter. As a provider of interactive services, First Insight is only a forum and is not liable for any statements, representations, or Content provided by its users in any public forum or personal home page.

Responsibility for Your Conduct. You shall remain solely liable for the Content of any messages or other information you upload or transmit to this Site, including the discussion forums or interactive areas of the Site. You agree to indemnify and hold harmless First Insight from any claim, action, demand, loss, or damages (including attorneys fees) made or incurred by any third party arising out of or relating to your conduct, your violation of these Site Terms, or your violation of any rights of a third party.

Submissions
You agree that any materials, including but not limited to questions, comments, suggestions, ideas, plans, notes, drawings, original or creative materials or other information, provided by you in the form of e-mail or submissions to First Insight, or postings on this Site, are non-confidential (subject to First Insights Privacy Policy) and shall become the sole property of First Insight. First Insight shall own exclusive rights, including all intellectual property rights, and shall be entitled to the unrestricted use of these materials for any purpose, commercial or otherwise, without acknowledgment or compensation to you. The submission of any materials to First Insight, including the posting of materials to any forum or interactive area, irrevocably waives any and all moral rights in such materials.

Linking Third Party Sites
You are granted a limited, non-exclusive right to create a hyperlink to this Site provided such link does not portray First Insight, its licensors or third party suppliers, or any of their products and services in a false, misleading, derogatory or otherwise defamatory manner. You may not use a First Insight logo or other proprietary graphic or trademark of First Insight to link to this Site without the express written permission of First Insight. This limited right may be revoked at any time.

First Insight makes no claim or representation regarding, and accepts no responsibility for, the quality, content, nature or reliability of Web sites accessible by hyperlink from this Site, or Web sites linking to this Site. The linked Web sites are not under the control of First Insight and First Insight is not responsible for the content of any linked Web site or any link contained in a linked Web site, or any review, changes or updates to such Web sites. First Insight is providing these links to you only as a convenience, and the inclusion of any link does not imply affiliation, endorsement, or adoption by First Insight of the Web site or any information, products or services contained therein. When leaving the First Insight Site, you should be aware that First Insights terms and policies no longer govern, and, therefore, you should review the applicable terms and policies, including privacy and data gathering practices, of that Site.

Disclaimers
AS IS BASIS. THIS SITE AND THE PRODUCTS, SERVICES, CONTENT AND OTHER MATERIALS CONTAINED THEREIN ARE PROVIDED ON AN AS IS BASIS WITHOUT WARRANTIES OF ANY KIND, EITHER EXPRESS OR IMPLIED. YOU EXPRESSLY AGREE THAT USE OF THIS SITE, INCLUDING ALL PRODUCTS, SERVICES, THIRD PARTY CONTENT, DATA OR OTHER MATERIAL OR CONTENT DISTRIBUTED BY, DOWNLOADED OR ACCESSED FROM OR THROUGH THIS SITE, IS AT YOUR SOLE RISK.

WARRANTY DISCLAIMER. FIRST INSIGHT DISCLAIMS ALL WARRANTIES, EXPRESS OR IMPLIED, INCLUDING, BUT NOT LIMITED TO, IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, TITLE, AND NON-INFRINGEMENT AS TO THE INFORMATION, MATERIALS, CONTENT, SERVICES AND PRODUCTS ON THE SITE. FIRST INSIGHT DOES NOT REPRESENT OR WARRANT THAT MATERIALS IN THIS SITE ARE ACCURATE, COMPLETE, RELIABLE, CURRENT, OR ERROR-FREE. FIRST INSIGHT IS NOT RESPONSIBLE FOR TYPOGRAPHICAL ERRORS OR OMISSIONS RELATING TO PRICING, TEXT, OR PHOTOGRAPHY. WHILE FIRST INSIGHT ATTEMPTS TO ENSURE YOUR ACCESS AND USE OF THE SITE IS SAFE, FIRST INSIGHT CANNOT AND DOES NOT REPRESENT OR WARRANT THAT THIS SITE OR ITS SERVER ARE FREE OF VIRUSES OR OTHER HARMFUL COMPONENTS.

First Insight reserves the right to change any and all content contained on this Site at any time without notice. Reference to any products, services, processes, or other information, by trade name, trademark, manufacturer, supplier, or otherwise does not constitute or imply endorsement, sponsorship or recommendation thereof by First Insight.

Limitation of Liability
IN NO EVENT SHALL FIRST INSIGHT BE LIABLE FOR ANY DIRECT, SPECIAL, INDIRECT OR CONSEQUENTIAL DAMAGES, OR ANY OTHER DAMAGES OF ANY KIND, INCLUDING BUT NOT LIMITED TO LOSS OF USE, LOSS OF PROFITS, OR LOSS OF DATA, WHETHER IN AN ACTION IN CONTRACT, TORT (INCLUDING BUT NOT LIMITED TO NEGLIGENCE), OR OTHERWISE, ARISING OUT OF OR IN ANY WAY CONNECTED WITH THE USE OF THIS SITE OR THE MATERIALS CONTAINED IN, OR ACCESSED THROUGH, THIS SITE. IN NO EVENT SHALL THE AGGREGATE LIABILITY OF FIRST INSIGHT (WHETHER IN CONTRACT, WARRANTY, TORT (INCLUDING NEGLIGENCE), PRODUCT LIABILITY, STRICT LIABILITY OR OTHER THEORY) ARISING OUT OF OR RELATING TO THE USE OF FIRST INSIGHTS SITE EXCEED THE LESSOR OF THE COMPENSATION YOU PAID FIRST INSIGHT FOR ACCESS TO OR USE OF THIS SITE OR $50.00.

Indemnification
You agree to indemnify, defend and hold First Insight harmless from and against any claims, actions, lawsuits, damages, proceedings or other liability (Liabilities) arising from or in connection with your use of the Site in violation of these Site Terms, including without limitation your violation of the Limitation on Site Access provisions, the Copyright and Trademark provisions, the Third-Party Content provisions, and the Linking provisions set forth above.

Termination
Notwithstanding any of these terms and conditions, First Insight reserves the right, without notice and in its sole discretion, to terminate your license to use the Site, and to block or prevent future access to and use of the Site.

Severability
If any provision of these Site Terms shall be deemed unlawful, void, or for any reason unenforceable, then that provision shall be deemed severable from these terms and conditions and shall not affect the validity and enforceability of any remaining provisions.

Waiver
Any refusal or failure of First Insight to enforce any provision of these Site Terms against a person or entity in violation of or violating a provision shall not under any circumstances constitute consent to such violation, a waiver of the provision or a waiver of First Insights right to enforce the provision against any person or entity violating such provision at any time upon discovery of the violation or anytime thereafter.

Applicable Law and Venue
These terms and conditions shall be governed by and construed in accordance with the laws of the State of Oregon applicable to agreements made and entirely to be performed within the State of Oregon without resort to its conflict of law provisions. You agree that any action at law or in equity arising out of or relating to these terms and conditions shall be filed only in State or Federal Court located in Portland, Oregon and you hereby irrevocably and unconditionally consent and submit to the exclusive jurisdiction of such courts over any suit, action or proceeding arising out of these terms and conditions.