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Privacy Policy


(Texas State Optical Georgetown)


Right to Notice:

As a patient, you have the right to have adequate notice of the uses and disclosures of your protected health information. Under the Health Insurance Portability and Accessibility Act (HIPAA), TEXAS STATE OPTICAL GEORGETOWN 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 judgment. We will only disclose health information that is directly relevant to the person’s involvement in your healthcare.


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. We may disclose your health information to the extent necessary to avert a serious threat to your or other people’s health or safety.

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 appropriate authorities under certain circumstances.

Appointment Reminders:

We may use or disclose your health information to provide you with appointment reminders via phone, e-mail 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:

TEXAS STATE OPTICAL GEORGETOWN 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 the office website, or are available within our office.


If you have 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 TEXAS STATE OPTICAL GEORGETOWN’s privacy policies, please contact us at the following address or phone number:

TEXAS STATE OPTICAL GEORGETOWN 1102 S. Austin Ave. Ste 102 Georgetown, TX 78626 Ph: (512) 240-5862

Print out our Privacy Policy

A Message to Our Patients

Our patients’ eye care needs are and always have been our top priority. With all that is happening, we are OPEN to help serve our patients. During this difficult time, we have made a few adjustments to our services and availability to ensure the health and safety of you, our staff and our Doctors.

We are currently offering Telehealth remote appointments for emergency or medical appointments. Please call us for immediate assistance.

For the Protection of Our Patients,
we have implemented the following procedures in our clinic:

Thank you for your support and understanding during these unprecedented times.

We hope to be able to continue to provide excellent care and service.

Choose an Appointment:

Dr. Salone

Dr. Le