Family Medical History
Eye History
Family Eye History
Review of Systems
Social History
This Notice describes how medical information about you may be used and disclosed and how you can get access to this information.
How Eye X Care May Use or Disclose Your Health Information
When Eye X Care May Not Use or Disclose Your Health Information
You Have the Following Rights With Respect to Your Health Information
Changes to This Notice of Privacy Practices
For More Information or to Report a Problem
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