Home

How to Find Us

Our Mission

New Patients

Patient Rights

Appointments &
Exams

Our Doctors

Our Staff

Visiting Doctors

Low Vision

Refractive Surgery

Office Hours & Phone Numbers

Appointments available
Monday through Friday
8:00 AM  to  5:00 PM

620-275-7248
800-526-3937
or 800-KAN-EYES

In case of emergency
after hours,
our doctors may be reached by calling St. Catherine Hospital
at 620-272-2222 and
the dispatch service
will have the
doctor on call notified.

Patient Bill of Rights
Advanced Directives
Physician Financial Interests and Ownership
Notice of Privacy Practices

Patient "Bill of Rights"

• The patient has the right to considerate and respectful care.

• The patient has the right to obtain from  his physician complete current information concerning his / her diagnosis, treatment and prognosis in terms the patient can be reasonably expected to understand.  When it is not medically advisable to give such information to the patient, the information should be made available to an appropriate person in his behalf.  He / She has the right to know, by name, the physician responsible for his care.

• The patient has the right to receive from his / her physician information necessary to give informed consent prior to the start of any procedure and/or treatment.  Except in emergencies, such information for informed consent should include but not necessarily be limited to the specific procedure and/or treatment, the medically  significant risks involved, and the probable duration of incapacitation.  Where medically significant alternatives for care or treatment exist, or when the patient requests information concerning medical alternatives, the patient has the right to know the alternatives.

• The patient has the right to refuse treatment and/or change physicians and to be informed of the medical consequences of his action.

• The patient has the right to every consideration of his/her privacy concerning his / her own medical care program.  Case discussion, consultation, examination and treatment are confidential and should be conducted discreetly.  Those not directly involved in his / her care must have the permission of the patient to be present.

• The patient has the right to expect all communications and records pertaining to his / her care be treated as confidential.

• The patient has the right to expect that within its capacity, the center will provide evaluation, service and/or referral as indicated by the urgency of the case.  When medically  permissible the patient may be  transferred to another facility only after he / she has received complete information and explanation concerning the needs for and the alternatives of such a transfer.  The institute to which the patient is to be transferred must first have accepted the patient for transfer.

• The patient has the right to obtain information as to any relationship of this facility to other health care and educational institutions as far as his / her care is concerned.  The patient has the right to obtain information as to the existence of any professional relationships among individuals, by name, who are treating him / her.  The patient has the right to be advised if the center proposed to engage in or perform human experimentation affecting his / her care of treatment.  The patient has the right to refuse to participate in such research projects.

• The patient has the right to expect reasonable continuity of care.  He has the right to know in advance what appointments times and physicians are available and where.  The patient has the right to expect this facility will provide a mechanism whereby he / she is in-formed by his physician or a delegate of the patient's continuing health care requirements following discharge.

• The patient has the right to examine and receive an explanation of his bill, regardless of source payment.

• The patient has the right to know our facility rules and regulations and how they apply to his / her conduct as a patient.

Advance Directives

Fry Eye Surgery Center is an outpatient surgery center that performs only elective surgeries and performs no high-risk surgeries.  It is the policy of Fry Eye Surgery Center not to acknowledge advance directives of any patient  while in this facility.  If you have an advance directive, it will not be honored while you are a patient in this facility.

Physician Financial Interests and Ownership

Drs. Eric Fry and William Clifford have common ownership of Fry Eye Surgery Center.

Kansas Department of Health and Environment Complaint Hotline:  800-842-0078
Office of Medicare Beneficiary Ombudsman:      Ombudsmen Center   

To download and print for your personal use this Patient Bill of Rights
as an Adobe PDF file: click here.

 Click icon to download free Adobe Reader

Notice of Privacy Practices

FRY EYE ASSOCIATES NOTICE OF PRIVACY PRACTICES

 *PLEASE NOTE:  FRY EYE ASSOCIATES AND FRY EYE SURGERY CENTER ARE TWO SEPARATE CORPORATIONS THAT SHARE COMMON OWNERSHIP AND CONTROL, AND THEREFORE, ARE KNOWN AS AN ORGANIZED HEALTH CARE ARRANGEMENT FOR PURPOSES OF THE PRIVACY STANDARDS.  FRY EYE ASSOCIATES AND WESTERN KANSAS LOW VISION ASSOCIATES/FOUNDATION ARE TWO SEPARATE CORPORATIONS THAT SHARE COMMON CONTROL AND THEREFORE ARE KNOWN AS AFFILIATED COVERED ENTITIES FOR PURPOSES OF THE PRIVACY STANDARDS.

 I.                   THIS INFORMATION DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.  PLEASE REVIEW IT CAREFULLY. 

 WE ARE REQUIRED BY FEDERAL LAW TO OBTAIN AN ACKNOWLEDGMENT FROM YOU THAT YOU RECEIVED THIS NOTICE.  PLEASE SIGN THE ATTACHED ACKNOWLEDGMENT FORM AND RETURN IT TO THE FRONT DESK.

II.                 WE HAVE A LEGAL DUTY TO SAFEGUARD YOUR PROTECTED HEALTH INFORMATION (PHI)

 We are legally required to protect the privacy of your health information.  We call this information protected health information, or PHI for short, and it includes information that can be used to identify you that we’ve created or received about your past, present, or future health or condition, the provision of health care to you, or the payment of this health care.  We must provide you with this notice about our privacy practices that explains how, when, and why we use and disclose your PHI.  With some exceptions, we may not use or disclose any more of your PHI than is necessary to accomplish the purpose of the use or disclosure.  We are legally required to follow the privacy practices that are described in this notice.

 However, we reserve the right to change the terms of this notice and our privacy policies at any time.  When we make an important change to our policies, we will promptly change this notice and post a new notice in the main reception area of “Fry Eye Associates” and “Fry Eye Surgery Center”.  You can also request a copy of this notice from the contact person listed in Section VI, below, at any time and can view a copy of the notice on our Web site at www.fryeye.com.

III.              HOW WE MAY USE AND DISCLOSE YOUR PROTECTED HEALTH INFORMATION

We use and disclose health information for many different reasons.  For some of these uses or disclosures, we need your specific authorization.  Below, we describe the different categories of our uses and disclosures.

 A.          Uses and Disclosures Relating to Treatment, Payment, or Health Care Operations.  We may use and disclose your PHI for the following reasons:

1.            For treatment.  We may disclose your PHI to physicians, nurses, medical students, and other health care personnel who provide you with health care services or are involved in your care.

2.          To obtain payment for treatment.  We may use and disclose your PHI in order to bill and collect payment for the treatment and services provided to you.

3.          For health care operations.  We may disclose your PHI in order to operate this clinic and/or surgery center.  For example, we may use your PHI in order to evaluate the quality of health care services that you received or to evaluate the performance of the health care professionals who provided health care services to you. 

continued to next page