At Blaine Family Eye Care we keep a record of the health care services we provide to you. You may request a copy of your
medical record in writing or get more information by contacting our privacy officer. We will not disclose your record to others
unless you direct us to do so or unless legal authorities authorize or compel us to do so. Our Notice of Privacy Practices is
available at the reception desk. The Notice describes in greater detail how your health information may be used or disclosed,
and how you can access your information. You are entitled to a copy of this Notice and it is available at your request.