NOTE: This notice of Privacy Practices is
provided for educational and informational
purposes only. This notice is not
intended as legal advice, and is not
provided for adoption or publication by any
party. The publication of any such notice
may create legal obligations or liabilities
which may vary depending upon the legal
status and business operations of
different organizations. The form and
content of any notice of privacy practices
should be determined only upon informed
consultation with qualified legal counsel.
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.

This notice is effective 04/14/03 until
further notice.

Right to notice:
As a patient, you have the right to adequate
notice of the uses and disclosures of your
protected health information. Under the
Health Insurance Portability and
Accessibility Act (HIPAA), Lifetime Eyecare
Center can use your protected health
information for treatment, payment and
health care operations.
a) Treatment- We may use or disclose
your health information to a physician or
other healthcare provider providing
treatment to you.
b) Payment- We may use and disclose
your health information to obtain payment
for services we provide you.
c) Health Care Operations- We may use
and disclose your health information in
connection with our healthcare operations.
Healthcare operations include quality
assessment and improvement activities,
reviewing the competency or qualifications
of healthcare professionals, evaluating
provider performance, conducting training
programs, accreditation, certification,
licensing or credentialing activities.

Your Authorization:
Most uses and disclosures that do not fall
under treatment, payment, health care
operations will require your written
authorization. Upon signing, you may
revoke your authorization (in writing)
through our practice at any time.

Emergency Situations:
In the event of your incapacity or an
emergency situation, we will disclose
health information to a family member, or
another person responsible for your care,
using our professional judgement. We
will only disclose health information that is
directly relevant to the person's
involvement in your care.

Marketing:
We will not use your health information for
marketing communications without your
written authorization.

Required by Law:
We may also use or disclose your health
information when we are required to do
so
by law.

Abuse or Neglect:
We may disclose your health information
to appropriate authorities if we reasonably
believe that you are a possible victim of
abuse, neglect, or domestic violence, or
the victim of other crimes.

National Security:
We may disclose the health information of
Armed Forces personnel to military
authorities under certain circumstances.
We may disclose health information to
authorized federal officials required for
lawful intelligence, counterintelligence and
other national security activities. We may
disclose health information of inmates or
patients to the proper authorities under
certain circumstances.

Appointment Reminders:
We may use or disclose your health
information to provide you with appt
reminders via phone or letter.

Your Rights as a Patient:
You have the right to restrict the disclosure
of your protected health information (in
writing). The request for restriction may be
denied if the information is required for
treatment, payment, or health care
operations.
-You have the right to receive confidential
communications regarding your protected
health information.
- You have the right to inspect and copy
your protected health information.
- You have the right to amend your
protected health information.
- You have the right to receive an account
of disclosures of your protected health
information.
- You have the right to a paper copy of this
notice of privacy practices.

Legal Requirements:
Lifetime Eyecare Center is required by law
to maintain the privacy of your protected
health information. We are required to
abide by the terms of this notice as it is
currently stated, and reserve the right to
change this notice . The policies in any
new notice will not be in effect until they
are posted to this site, or are available
within our office.

Complaints:
If you have any complaints regarding the
way your protected health information was
handled, you may submit a complaint in
writing to our office. You will not be
retaliated against in any manner for a
complaint.

Contact Information:
For further information about Lifetime
Eyecare Center's privacy policies, please
contact Dr. Stephen Kessler at Lifetime
Eyecare Center, 7425 University Ave,
Middleton, WI 53562, 608-831-2033.