Privacy Policy

EyeCare Partners P.C. / Penn Central Eye Clinic respects our legal obligation to keep all health information that identifies you private as set forth by HIPAA, the Health Insurance Portability and Accessibility Act. This notice describes how your medical information may be used and disclosed in relation to your treatment, payment, and healthcare operations as needed by our doctors and staff. It also explains how you can obtain access to this information if needed.


Treatment: We may use your medical information to provide you with treatment or services without consent or authorization unless otherwise required by state law. We may disclose your medical information to doctors, nurses, medical students, pharmacists, laboratories, or other health care providers who are involved in your care whether or not they are affiliated with EyeCare Partners P.C. These providers are called “indirect treatment providers” and are required to comply with the privacy requirements of state and federal law to keep your medical information confidential. We can disclose or share information regarding your medical care and history with a professional at your request with your written authorization as required by Iowa law, HIPAA, and other federal regulations.

Payment: We may use and disclose medical information about you for the purpose of obtaining payment for the services you have received through private billing, submission to an insurance company, or a third party. It is necessary to ask you for your health information in order to determine your health insurance coverage, or to obtain prior approval for your services and to determine if insurance will cover your treatment.

Healthcare Operations: It may be necessary to use or disclose your medical information without your consent in order to provide you with quality care. It is necessary to use your health information without any special permission for the purpose of performing administrative and managerial functions, along with daily healthcare operations including: appointment reminders, examining your eyes, prescribing glasses contact lenses or medications, offering treatment alternatives, referring you to another doctor for care, to receive information about your health-related benefits, obtaining health records from another physician when necessary, or additional services that may be of interest to you.

Written Authorization: Most uses and disclosures that do not fall under treatment, payment, or healthcare operations will require your written authorization. After signing this authorization granting permission to share your information, you may choose to at any time revoke your authorization by submitting your request to our office in writing.

Emergency Care/ Patients in Need of Assistance: 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 information that is relevant to that person’s involvement in your care.


We are required by state and federal law to disclose your information for: law enforcement purposes when pertaining to a crime, public health purposes, requests made by government authorities regarding victims of abuse, judicial and administrative proceedings, health related research, military purpose or as requested by high ranking government officials, obligatory disclosure to a medical examiner or funeral director or organization dealing with tissue donation, prevention of a serious health or safety threat, and disclosures related to workers compensation claims.


  • 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, or request a copy either on paper or as an electronic record
  • You have the right to amend your protected health information
  • You have the right to ask for an account of disclosures of your protected health information
  • You have a right to receive a paper copy of this notice concerning our privacy practices

EyeCare Partners P.C. is required by law to protect 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 amend this notice at any time as allowed by law. If changes are made to our Privacy Policy, the new practices will apply to both your current health information in our care as well as information which may be generated in the future. Changes made to our Privacy Policy will be posted in our office, on our website, and will be available on paper copy at the patient’s request. Should you have a complaint regarding how we have handled your protected health information, you may address your concern to us directly in writing, through secure email on our website at, by contacting our Privacy Officer Tracy Paulsen at, or in person; without fear of penalty of any kind. You may also contact the U.S. Department of Health and Human Services, Office for Civil Rights to voice your complaint should you so desire. Please see the beginning of this notice for additional contact information for EyeCare Partners P.C. and Penn Central Eye Clinic.


Professional Services

We expect payment for both services and goods at the time of your visit. This includes collection of necessary professional fees, insurance co-payments applicable, and out of pocket fees. We prefer payment in full at the time you place your order for glasses or contacts; you may be eligible to take advantage of our Prompt Payment discount as a bonus for paying in full. Please be aware, our office policy does not allow for products or prescriptions to be released until charges for the item have been paid for in full. Furthermore, some cases call for an additional visit with the doctor before a prescription can be finalized. For instance, if you are receiving contact lenses for the first time it will be necessary for the doctor to see you for a follow-up visit after wearing the lenses for a brief period to allow him to finalize your prescription.

Insurance Services

ECP strives to submit claims to insurance on behalf of our patients whenever possible. Please provide us with updated copies of necessary insurance cards before your appointment allowing time for us to verify your benefit allowance. Feel free to ask our staff for details about which insurance companies we are providers for. If we are not a provider for your insurance, you may pay for your services and products in full, and request an itemized statement from our staff. You may be able to submit proof of your payment directly to your insurance company to receive out-of-network benefit reimbursement.

EyeCare Partners P.C. is happy to accept your payment in the form of:

  • Cash
  • Personal check with ID
  • Credit Card (Visa, Mastercard, Discover)
  • ECP Patient Referral Credits
  • Debit Card
  • TRIP $ Certificates
  • ECP Gift Certificate
  • Flexible Spending Card