|
Office Hours & Phone Numbers
Appointments available
620-275-7248
In case
of emergency
|
Patient Bill of Rights
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. Luther Fry and William Clifford have common ownership of Fry Eye Surgery Center. Kansas Department of Health
and Environment Complaint Hotline: 800-842-0078 To download and print for
your personal use this
Patient Bill of Rights
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. |
© 2010 Fry Eye Associates
![]()
webmaster