Notice of Privacy Practices
Effective October 2, 2026
Multack Eye Care, S.C. | Your information. Your rights. Our responsibilities.
On this page: Privacy requests · Your rights · Uses and disclosures · Complaints · Office contacts
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Who this notice covers
This notice covers Multack Eye Care, S.C. (MEC), its workforce, and care provided on its behalf at its Frankfort, Palos Heights, Olympia Fields, and Bourbonnais offices. A separate provider, surgery facility, or anesthesia group may have its own privacy notice; this notice does not automatically cover a separately operated entity.
Questions and privacy requests
Privacy contact: Multack Eye Care, S.C.
22200 Wolf Road, Frankfort, IL 60423
Telephone: (815) 889-3333. Ask to speak with the person responsible for privacy. We can explain how to submit requests or complaints and help you obtain a copy of this notice. Call our office for privacy assistance.
Our responsibilities
We must protect the privacy of your protected health information, provide this notice of our legal duties and privacy practices, and follow the notice currently in effect. We must notify affected individuals when a breach of unsecured protected health information requires notice under law. Protected health information includes identifiable medical and billing information in paper, electronic, and oral form.
How we ordinarily use and share information
Treatment. We may use and share information to provide and coordinate care. For example, your cataract surgeon may share examination findings and your medication list with other professionals involved in your treatment.
Payment. We may use and share information to obtain payment. For example, we may send your health plan procedure and diagnosis information to process a claim or determine coverage, subject to the restrictions described in this notice.
Health care operations. We may use and share information to run our practice and improve care. For example, our clinicians may review records for quality improvement, training, safety, or credentialing.
Your rights
To exercise your rights, use the privacy contact listed above.
Inspect or obtain a copy of your records
You may request access to medical, billing, and other records used to make decisions about you. We will provide an electronic or paper copy in the form you request if readily producible, or agree on an available format. We generally act within 30 days, or sooner if law requires. If a lawful extension is necessary, we will explain it in writing. Any fee must be reasonable, cost-based, and allowed by law; we do not charge a search or retrieval fee for your HIPAA access request. Limited legal exceptions apply. A denial will explain your rights, including review rights when available.
Ask for a correction
You may ask in writing to amend information you believe is incorrect or incomplete and explain why. We generally respond within 60 days, subject to any lawful extension. If we deny the request, we will give a written explanation and explain how to submit a statement of disagreement. The right to request an amendment does not require deletion of an accurate original record.
Request confidential communications
You may ask us to contact you in a particular way or at another address, such as calling a different telephone number. We will accommodate reasonable requests and will not require you to explain the reason. Tell us the alternative contact details and, where necessary, how payment will be handled.
Request limits on use or disclosure
You may ask us to restrict use or sharing for treatment, payment, or health care operations, or sharing with people involved in your care. We usually do not have to agree. If we agree, we will follow the restriction except as law permits, including necessary emergency treatment.
If you pay for a particular item or service out of pocket in full and request a restriction, we must not disclose information solely about that item or service to your health plan for payment or health care operations, unless the disclosure is required by law. This is not a blanket prohibition on every disclosure of your medical record. Tell us before we submit a claim so we can apply the restriction.
Receive an accounting of disclosures
You may request an accounting of certain disclosures made during the six years before your request. It generally excludes treatment, payment, health care operations, disclosures you authorized, and other legal exceptions. The first accounting in a 12-month period is free. We will tell you in advance of any reasonable fee for an additional accounting and let you withdraw or modify your request.
Obtain this notice or use a representative
You may receive a paper copy promptly on request even if you previously accepted an electronic copy. A legally authorized personal representative may exercise rights for you, subject to verification and applicable exceptions. Contact us for help with any request or complaint; we will not retaliate against you.
Your choices and other disclosures
People involved in your care
We may share information directly relevant to care or payment with family, friends, or others you identify when you agree, have an opportunity to object and do not object, or circumstances reasonably indicate agreement. If you cannot express a preference, we may use professional judgment to share information in your best interests. We may assist with disaster-relief notification as allowed by law.
When written authorization is required
We will obtain your written authorization for uses and disclosures that require it, including most uses and disclosures of psychotherapy notes, marketing that requires authorization, and a sale of protected health information. Uses or disclosures not described in this notice also require your written authorization. You may revoke an authorization in writing, except to the extent we already relied on it or another legal exception applies. Signing an acknowledgment that you received this notice is not a marketing authorization or a waiver of your rights.
Communications and fundraising
We may contact you about appointments, treatment alternatives, or health-related benefits and services when allowed by law and consistent with your communication requests. If we contact you to raise funds for MEC, you may opt out of future fundraising communications. Your choice will not affect treatment or payment. If protected Part 2 records would be used for fundraising, we will first offer a clear opportunity to elect not to receive those communications.
Other purposes permitted or required by law
The following disclosures are allowed only when the applicable legal conditions are met and any stricter confidentiality rules are satisfied:
Public health and safety: reporting disease, product problems, adverse drug reactions, suspected abuse, neglect, or domestic violence, and preventing a serious and imminent threat to health or safety.
Oversight and legal requirements: lawful audits, licensing and investigations; disclosures required by law; and disclosures to HHS to determine our compliance. A subpoena or request alone does not automatically authorize every disclosure.
Courts, law enforcement and government functions: responding to lawful court or administrative process and qualifying law-enforcement requests; workers’ compensation; and permitted military, national-security or custodial purposes.
Research and after-death activities: properly authorized research or research meeting a legal exception; organ, eye or tissue donation; and disclosures to coroners, medical examiners or funeral directors as permitted.
Service providers supporting MEC
We may share information with business associates performing permitted services for us, such as billing or record-system support. Required written agreements and applicable law obligate them to safeguard information. We limit uses and disclosures to the minimum necessary when that legal standard applies.
Additional protections and complaints
Specially protected records
Some information has protections beyond ordinary HIPAA rules. These can include records protected by Illinois mental-health and developmental-disability confidentiality law, HIV-test confidentiality law, genetic-information privacy law, and federal substance-use-disorder confidentiality rules. Where a stricter applicable law requires consent or imposes other limits, we follow that law. We do not treat a general permission in this notice as permission to bypass those protections.
Records protected by 42 CFR Part 2
To the extent we receive or maintain substance-use-disorder records protected by 42 CFR Part 2, we follow its additional restrictions. Records, or testimony describing their contents, may not be used or disclosed in civil, criminal, administrative, or legislative proceedings against you without your written consent or a qualifying Part 2 court order issued after notice and an opportunity to be heard for you or the record holder. An order authorizing disclosure must also be accompanied by a subpoena or other legal mandate compelling it. A general treatment, payment, or operations consent is not consent to use the records against you in such proceedings.
We use or share protected Part 2 records for treatment, payment, and health care operations only as permitted by Part 2 and HIPAA, including applicable consent requirements. For example, receiving a protected record to coordinate eye care does not mean that we can release it in a legal proceeding against you. These protections concern federally protected Part 2 records, not every mention of alcohol, medication, or substance use in a medical chart.
File a complaint without retaliation
You may complain to MEC orally or in writing through the privacy contact above. You may also complain directly to the U.S. Department of Health and Human Services, Office for Civil Rights (OCR); you do not need to complain to MEC first. We will not retaliate or condition your care on giving up complaint rights.
HHS Office for Civil Rights: 200 Independence Avenue SW, Washington, DC 20201. Complaint instructions and portal. HHS assistance: 1-877-696-6775. HIPAA complaints generally should be filed within 180 days of when you knew of the alleged violation; OCR may extend that time for good cause.
Changes to this notice
We reserve the right to revise this notice and apply the revised practices to information we already maintain and information we receive in the future, as law permits. The effective date will appear on the revised notice. Revised copies will be available in our offices and on our website, and a paper copy will be provided on request.
MEC office contacts
Frankfort
22200 Wolf Road, Frankfort, IL 60423
(815) 889-3333
Palos Heights
13303 S. Ridgeland Avenue, Suite B, Palos Heights, IL 60463
(708) 857-7990
Olympia Fields
20303 S. Crawford Avenue, Suite LL1, Olympia Fields, IL 60461
(708) 898-1858
Bourbonnais
870 N. Convent Street, Bourbonnais, IL 60914
(779) 900-8222