Trust & Compliance
Privacy Policies
Last updated June 2025
Vital Tears is dedicated to the protection of patient privacy. Through every step of our process we will ensure that all of your medical records and personal information are safe and secure.
Our Notice of Privacy Practices and health information-related forms are available for download.
HIPAA Documents
PDF
HIPAA Notice of Privacy Practices (English, June 2025)
PDF
HIPAA Notice of Privacy Practices (Spanish, June 2025)
PDF
HIPAA Authorization Use Disclosure PHI
PDF
HIPAA Health Info Access Request
PDF
HIPAA Health Info Correction Amendment Request
PDF
HIPAA Request for Alternative Communications
Questions about your privacy?
Contact our Patient Services team at (800) 360-9592 or patientservices@vitaltears.org.