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CVO is proud to offer the best possible care for their patients. Because of this, we recommend the Optomap for everyone annually. Sometimes referred to as ultrawide imaging, Optomap gives your doctor a nearly complete view of your retina and allows for state-of-the-art assessment of the overall health of your eye by allowing your doctor to see things out in the far parts of your eye that might otherwise be missed such as tumors, tears, and detachments.

In addition to our recommended Optomap screening, we are excited to introduce the OCT Screener as part of our commitment to your eye health.

The OCT Screener, also known as Optical Coherence Tomography, complements the Optomap by providing detailed, cross-sectional images of your retina, optic nerve, and other crucial structures within your eye. This advanced screening allows your doctor to detect early signs of eye conditions such as glaucoma, macular degeneration, and diabetic retinopathy, offering you comprehensive insight into your eye health.

Just like the Optomap, the OCT Screener enables state-of-the-art assessment of your eye's overall health, providing your doctor with valuable information about your eye's condition. An OCT can aid in diagnosing many conditions earlier and with much more precision than traditional methods have allowed in the past. By measuring the thickness of specific layers of the retina, the OCT helps more accurately predict a patient’s individual risk for developing conditions that would otherwise go undetected. By combining these screenings, you receive the most thorough evaluation possible, ensuring that potential issues are identified early and addressed proactively. Together, Optomap, OCT Scan, and Dilation provide the greatest level of assurance that the back of your eye is thoroughly evaluated.

Dilation, which is part of every thorough eye examination, allows your doctor to see the back of your eye in 3-dimensions and with a level of detail not otherwise possible. Together, Optomap and Dilation provide the greatest level of assurance that the back of your eye is thoroughly evaluated.

Your doctor recommends that you get dilation in addition to the Optomap image.


For your convenience and peace of mind, we offer the following options:





​​​​​​​By selecting the option that best fits your needs, you're taking an active role in preserving your vision and ensuring the health of your eyes. If you have any questions or need further information, our team is here to assist you. Thank you for entrusting CV Optometry with your eye care.

Please be advised that any records and all finalized prescriptions, spectacle, contact, or otherwise, will be uploaded and made available to you electronically via your Patient Portal.

You can access and register for this portal at:

By signing below, you acknowledge and accept the electronic receipt of prescriptions and records.

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. If you have any questions please contact our office. We are required by law to:

  • Maintain the privacy of your protected health information;

  • Give you this notice of our duties and privacy practices regarding health information about you;

  • Follow the terms of our notice that is currently in effect.


Described as follows are the ways we may use and disclose health information that identifies you (Health Information, or PHI). Except for the following purposes, we will use and disclose Health Information only with your written permission.

You may revoke

such permission at any time by writing to us and stating that you wish to revoke the permission you previously gave us.


We may use and disclose Health Information for your treatment and to provide you with treatment-related health care services. For example, we may disclose Health Information to doctors, nurses, technicians, or other personnel, including people outside our office, who are involved in your medical care and need the information to provide you with medical care.


We may use and disclose Health Information so that we may bill and receive payment from you, an insurance company, or a third party for the treatment and services you received. For example, we may give your health plan information so that they will pay for your treatment. However, if you pay for your services yourself (e.g. out-of-pocket and without any third-party contribution or billing), we will not disclose Health Information to a health plan if you instruct us to not do so.

Health Care Operations

We may use and disclose Health Information for healthcare operation purposes. These uses and disclosures are necessary to make sure that all of our patients receive quality care and to operate and manage our office. For example, we may use and disclose information to make sure the care you receive is of the highest quality. Subject to the exception above if you pay for your care yourself, we also may share information with other entities that have a relationship with you (for example, your health plan) for their healthcare operations.

Appointment Reminders, Treatment Alternatives, and Health-Related Benefits and Services. We may use and disclose Health Information to contact you and to remind you that you have an appointment with us. We also may use and disclose Health Information to tell you about treatment alternatives or health-related benefits and services that may be of interest to you. We will not, however, send you communications about health-related or non-health-related products or services that are subsidized by a third party without your authorization.

Individuals Involved in Your Care or Payment for Your Care. When appropriate, we may share Health Information with a person who is involved in your medical care or payment for your care, such as your family or a close friend. We also may notify your family about your location or general condition or disclose such information to an entity assisting in a disaster relief effort.


Under certain circumstances, we may use and disclose Health Information for research. For example, a research project may involve comparing the health of patients who received one treatment to those who received another, for the same condition. Before we use or disclose Health Information for research, the project will go through an approval process. Even without approval, we may permit researchers to look at records to help them identify patients who may be included in their research project or for other similar purposes, as long as they do not remove or take a copy of any Health Information.

Fundraising and Marketing.

Health Information may be used for fundraising communications, but you have the right to opt out of receiving such communications. Except for the exceptions detailed above, uses and disclosures of Health Information for marketing purposes, as well as disclosures that constitute a sale of Health Information, require your authorization if we receive any financial remuneration from a third party in exchange for making the communication, and we must advise you that we are receiving remuneration.

Other Uses.

Other uses and disclosures of Health Information not contained in this Notice may be made only with your authorization.


As Required by Law. We will disclose Health Information when required to do so by federal, state, or local law.

To Avert a Serious Threat to Health or Safety We may use and disclose Health Information when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person. Disclosures, however, will be made only to someone who may help prevent the threat.

Business Associates.

We may disclose Health Information to our business associates that perform functions on our behalf or provide us with services if the information is necessary for such functions or services. For example, we may use another company to perform billing services on our behalf. All of our business associates are obligated to protect the privacy of your information and are not allowed to use or disclose any information other than as specified in our contract.

Organ and Tissue Donation. If you are an organ donor, we may use or release Health Information to organizations that handle organ procurement or other entities engaged in procurement; banking or transportation of organs, eyes, or tissues to facilitate organ, eye, or tissue donation; and transplantation.

Military and Veterans. If you are a member of the armed forces, we may release Health Information as required by military command authorities. We also may release Health Information to the appropriate foreign military authority if you are a member of a foreign military.

Workers' Compensation. We may release Health Information for workers' compensation or similar programs. These programs provide benefits for work-related injuries or illnesses.

Public Health Risks. We may disclose Health Information for public health activities. These activities generally include disclosures to prevent or control disease, injury, or disability; report births and deaths; report child abuse or neglect; report reactions to medications or problems with products; notify people of recalls of products they may be using; a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition; and the appropriate government authority if we believe a patient has been the victim of abuse, neglect or domestic violence. We will only make this disclosure if you agree or when required or authorized by law.

Health Oversight Activities. We may disclose Health Information to a health oversight agency for activities authorized by law. These oversight activities include, for example, audits, investigations, inspections, and licensure. These activities are necessary for the government to monitor the health care system, government programs, and compliance with civil rights laws.

Lawsuits. If you are involved in a lawsuit or a dispute, we may disclose Health Information in response to a court or administrative order. We also may disclose Health Information in response to a subpoena, discovery request, or other lawful processes by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the information requested.

Law Enforcement. We may release Health Information if asked by a law enforcement official if the information is: (1) in response to a court order, subpoena, warrant, summons, or similar process; (2) limited information to identify or locate a suspect, fugitive, material witness, or missing person; (3) about the victim of a crime even if, under certain very limited circumstances, we are unable to obtain the person's agreement; (4) about a death we believe may be the result of criminal conduct; (5) about criminal conduct on our premises; and (6) in an emergency to report a crime, the location of the crime or victims, or the identity, description or location of the person who committed the crime.

Coroners, Medical Examiners, and Funeral Directors. We may release Health Information to a coroner or medical examiner. This may be necessary, for example, to identify a deceased person or determine the cause of death. We also may release Health Information to funeral directors as necessary for their duties.

National Security and Intelligence Activities. We may release Health Information to authorized federal officials for intelligence, counter-intelligence, and other national security activities authorized by law.

Protective Services for the President and Others. We may disclose Health Information to authorized federal officials so they may provide protection to the President, other authorized persons, or foreign heads of state, or conduct special investigations.

Inmates or Individuals in Custody. If you are an inmate of a correctional institution or under the custody of a law enforcement official, we may release Health Information to the correctional institution or law enforcement official. This release would be if necessary: (1) for the institution to provide you with health care; (2) to protect your health and safety or the health and safety of others; or (3) for the safety and security of the correctional institution.


You have the following rights regarding Health Information we have about you: Right to Inspect and Copy. You have a right to inspect and copy Health Information that may be used to make decisions about your care or payment for your care. This includes medical and billing records, other than psychotherapy notes. To inspect and copy this Health Information, you must make your request, in writing, to our office.

Right, to Amend. If you feel that Health Information we have is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment for as long as the information is kept by or for our office. To request an amendment, you must make your request, in writing, to our office.

Right to an Accounting of Disclosures. You have the right to request a list of certain disclosures we made of Health Information for purposes other than treatment, payment, and healthcare operations or for which you provided written authorization. To request an accounting of disclosures, you must make your request, in writing, to our office.

Right to Request Restrictions. You have the right to request a restriction or limitation on the Health Information we use or disclose for treatment, payment, or healthcare operations. You also have the right to request a limit on the Health Information we disclose to someone involved in your care or the payment for your care, like a family member or friend. For example, you could ask that we not share information about a particular diagnosis or treatment with your spouse. To request a restriction, you must make your request, in writing, to our office. We are not required to agree to all such requests. If we agree, we will comply with your request unless the information is needed to provide you with emergency treatment.

Right, to Request Confidential Communication You have the right to request that we communicate with you about medical matters in a certain way or at a certain location. For example, you can ask that we only contact you by mail or at work. To request confidential communication, you must make your request, in writing, to our office. Your request must specify how or where you wish to be contacted. We will accommodate reasonable requests.

Right to a Paper Copy of This Notice. You have the right to a paper copy of this notice. You may ask us to give you a copy of this notice at any time. Even if you have agreed to receive this notice electronically, you are still entitled to a paper copy of this notice. You may obtain a copy of this notice at our website, To obtain a paper copy of this notice please request it in writing.

Right to Electronic Records. You have the right to receive a copy of your electronic health records in electronic form.

Right to Breach Notification. You have the right to be notified if there is a Breach of privacy such that your Health Information is disclosed or used improperly or in an unsecured way.


We reserve the right to change this notice and make the new notice apply to Health Information we already have as well as any information we receive in the future. We will post a copy of our current notice at our office. The notice will contain the effective date on the first page, in the top right-hand corner.


If you believe your privacy rights have been violated, you may file a complaint with our office or with the Secretary of the Department of Health and Human Services. All complaints must be made in writing. You will not be penalized for filing a complaint.


Insurance Authorization and Financial Privacy Notice:

Insurance Authorization and Financial Agreement Privacy NoticeI here authorize Coachella Valley Optometry (CVO) to release my information to determine the benefits payable for related services to any insurance carrier I have. I hereby authorize payment directly to CVO from my insurance including deductibles, coinsurances, and non-covered services. I agree it is my responsibility to know which providers are in my network and which services are covered by my plan. I also agree that proof of Insurance eligibility does not guarantee payment by my insurance and I will be held responsible for any fees not covered by or paid by insurance.

I understand that some service(s)/materials I select may not be covered by IEHP and/or Medi-Cal and are unavailable as a benefit to me. I understand that I am under no obligation to purchase any non-covered service and that in requesting such services or materials, I accept full responsibility for payment for all charges. This waiver does not apply to any IEHP/Medi-Cal covered benefits. All standards regarding covered benefits are unaffected by the provisions of this waiver.

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