Patient Form

Privacy Policy

Privacy Policy
Effective Date: July 31, 2025
Practice Name: Kazi Ophthalmology

At Kazi Ophthalmology, we are committed to protecting your privacy and ensuring the confidentiality of your personal and medical information. This Privacy Policy outlines how we collect, use, and safeguard your protected health information (PHI) in accordance with federal and state privacy laws, including HIPAA.

What Information We Collect
We may collect the following information as part of your care:
  • Personal identification (name, date of birth, address, phone number, email)
  • Health history and medical information
  • Insurance and billing information
  • Information shared during visits, calls, or through patient portals
How We Use Your Information
Your information may be used for:
  • Treatment: To provide and coordinate your care
  • Payment: To bill and process insurance claims
  • Healthcare operations: Quality improvement, training, or administrative purposes
  • Communication: Appointment reminders, follow-ups, or sharing test results (with your consent)
Your Rights
You have the right to:
  • Access and request copies of your medical records
  • Request corrections to your records
  • Request restrictions on certain uses or disclosures
  • Receive a list of disclosures made (accounting of disclosures)
  • File a complaint if you believe your privacy rights have been violated
How We Protect Your Information
We use administrative, physical, and electronic safeguards to protect your information from unauthorized access, disclosure, or misuse. Access to your records is limited to authorized staff involved in your care or operations.
Sharing of Information
We do not sell or share your information for marketing purposes without your explicit written authorization. We may share information with:
  • Other healthcare providers involved in your care
  • Your insurance company or billing provider
  • Public health authorities when required by law (e.g., for disease reporting)
  • Law enforcement, if required by a court order or subpoena
Contact Us
If you have questions about this policy or your privacy rights, please contact:
Kazi Ophthalmology
822 Leighton Ave. Anniston, AL 36207
Phone: 256-237-6769
Email: info@kazieyecare.com
You may also contact the U.S. Department of Health and Human Services Office for Civil Rights if you believe your rights under HIPAA have been violated.