• Palmer Eye Associates & Palmer Optical
    Patient Portal Enrollment Form

    We are pleased to offer this online tool to allow our patients access to their healthcare information easily and securely. This Patient Portal will allow patients to electronically manage their own health record as well as their dependents health records.

    Please read the Patient Portal Terms & Conditions and electronically sign the form below.
  • PRIVACY POLICY

    Please review our Privacy Policy (HIPAA Form) to understand our practices.
  • ELECTRONIC COMMUNICATIONS

    When you visit the Palmer Eye Associates & Palmer Optical Patient Portal or send emails to us, you are communicating with us electronically. We will communicate with you by email or by posting notices through the Patient Portal. You agree that all agreements, notices, disclosures and other communications that we provide you electronically satisfy any legal requirements that such communications be in writing.
  • LICENSE AND SITE ACCESS

    Palmer Eye Associates & Palmer Optical grants you a limited license to access and make personal use of this site and not to download (other than page caching) or modify it, or any portion of it, except with tools provided by Palmer Eye Associates & Palmer Optical or with the express written consent or Palmer Eye Associates and/or Palmer Optical. This license does not include any resale or commercial use of this site or its contents; the right to make or establish a derivative use of this site or its contents; any downloading or copying of account information for the benefit of another party- except as may otherwise be allowed under the site (e.g. parent/guardian/minor relationship); or any use of data mining, robots or similar data gathering and extraction tools. This site or any portion of this site may not be reproduced, duplicated, copied, sold, resold, visited, or otherwise exploited for any commercial purpose without express written consent of Palmer Eye Associates and/or Palmer Optical. You may not frame or utilize framing techniques to enclose any trademark, logo, or other proprietary information (including images, text, page layout, or form) of Palmer Eye Associates, Palmer Optical or third party providers without express written consent. You may not use any meta tags or any other "hidden text" utilizing Palmer Eye Associates and/or Palmer Optical's name or trademarks without the express written consent of Palmer Eye Associates and/or Palmer Optical. Any unauthorized use terminates the permission or license granted by Palmer Eye Associates and/or Palmer Optical. You are granted a limited, revocable, and nonexclusive right to create a hyperlink solely to the home page of Palmer Eye Associates and/or Palmer Optical so long as the link does not portray Palmer Eye Associates and/or Palmer Optical or their products or services in a false, misleading, derogatory, or otherwise offensive matter. You may not use any Palmer Eye Associates and/or Palmer Optical logo or other proprietary graphic or trademark as part of the link without express written permission from Palmer Eye Associates and/or Palmer Optical.
  • COPYRIGHT

    Palmer Eye Associates & Palmer Optical Patient Portal and the website contains our copyrighted and protected material. Some material in the website is from copyrighted sources of the respective copyright claimants. Users of this material are solely responsible for compliance with any copyright restrictions and are referred to the copyright notices appearing in the original sources, all of which are hereby incorporated by reference.

    The trademarks, service marks, trade names, trade dress, patents and copyrights featured on this site, including Palmer Eye Associates & Palmer Optical are owned by Palmer Eye Associates & Palmer Optical in the United States and internationally. The trademarks, service marks, trade names, trade dress and products featured on this site are protected by laws in the United States and internationally. All other trademarks not owned by Palmer Eye Associates & Palmer Optical that appear on this site are the property of their respective owners. This site is the copyrighted property of Palmer Eye Associates & Palmer Optical and/or its various third party providers and distributors, and is protected by U.S. Copyright laws and other laws including international treaties. Palmer Eye Associates & Palmer Optical is not responsible for the privacy practices of third parties. We recommend that you review the privacy and security policies of such third parties should you so desire. You may download content only for your personal use for noncommercial purposes, but no modification or further reproduction of the content is permitted. The content may otherwise not be copied, disseminated or used in any other way. If you violate any of these Conditions of Use, your permission to use the Content automatically terminates and you must immediately destroy any copies you have made of any portion of the Content. No portion of this site, including but not limited to any Palmer Eye Associates & Palmer Optical channel, structure, text, graphics, designs, algorithms, object code, source code, creative concepts or results may be reverse-engineered, disassembled, de-compiled, reproduced, transcribed, stored in a retrieval system, translated into any language or computer language, re-transmitted in any form or by any means (electronic, mechanical, photo reproduction, recordation or otherwise), resold or redistributed without the prior written consent of Palmer Eye Associates & Palmer Optical. Notwithstanding the foregoing, content uploaded and/or downloaded by You and/or the healthcare provider is not deemed Palmer Eye Associates & Palmer Optical Content but rather would be subject to whatever restriction either you and/or your healthcare provider places on such content.
  • YOUR ACCOUNT

    If you use this site, you are responsible for maintaining the confidentiality of your account and password and for restricting access to your computer, and you agree to accept responsibility for all activities that occur under your account or password. Palmer Eye Associates & Palmer Optical reserves the right to refuse service, terminate accounts, remove or edit content, or cancel orders in their sole discretion.

    In addition, we may automatically gather general statistical information about our Web site and users, such as IP addresses, browsers, pages viewed, number of visitors and, possibly in the future, goods and services purchased/used, etc., but in doing so we do not reference you by individual name, e-mail address, home address, or telephone number. We use this data in the aggregate to determine how much our customers use parts of our site so we can improve our site. We may provide this statistical information to third parties, but if and when we would do so we will not provide any personally identifying information without your prior permission. We do not sell or rent or share personally identifying information collected during your use of our Web site without your permission. We collect and store your profile in order for you to manage your health.

    As part of our service, we may use cookies to store and sometimes track information about you. A cookie is a small amount of data that is sent to your browser from a Web server and stored on your computer's hard drive. Generally, we use cookies to: (i) remind us who you are and enable us to access your account information so you do not have to reenter it; (ii) gather statistical information about usage by registered or unregistered users and (iii) research visiting patterns. Preference and options configurations in your browser determine if and how a cookie will be accepted. You can change those configurations on your computer if you desire. By changing your preferences, you can accept all cookies, you can be notified when a cookie is set, or you can reject all cookies. If you do so and cookies are disabled, you may be required to reenter your information more often and certain features of our site may be unavailable.
  • OPT-IN & OPT-OUT

    Opting-in to Palmer Eye Associates & Palmer Optical Patient Portal is not necessary to become/remain a member of our practice.The purpose of this tool is to help our patients manage their healthcare and the healthcare of their dependents. If you opt-in and wish to opt-out in the future, you may do so at any time by informing us in writing that you wish to opt-out of the Palmer Eye Associates & Palmer Optical Patient Portal or any of our other services. In such an instance, we will return communication via email or letter that your request has been received and granted.
  • YOUR PERSONAL INFORMATION

    Your privacy is important to us. You will need to provide a User ID and password to access and use the Service. When you download your Personal Information from Your data source (including, for example, medical expense information from visits to healthcare providers) the Portal will store your personal information. We provide the Palmer Eye Associates & Palmer Optical Patient Portal to you as a Business Associate to your health care provider. As a Business Associate, we follow the rules that apply to Business Associates under HIPAA and HITECH Act, as well as any other privacy and security rule surrounding your personal information that was agreed to between you and Palmer Eye Associates and/or Palmer Optical.
  • SECURITY

    We employ reasonable and current security methods to prevent unauthorized access, maintain data accuracy, and ensure correct use of information your account information and profile are password-protected. We recommend that you do not divulge your password to anyone. Our personnel will never ask you for your password in an unsolicited phone call or in an unsolicited e-mail. Remember to sign out of your account and close your browser window when you have finished your session. This is to help ensure that others cannot access your personal information and correspondence if you share a computer with someone else or are using a computer in a public place where others may have access to it. Remember that certain portions of the website that you may visit may be public places, whether solely for users within a practice or for any users of our portal. Whenever you voluntarily disclose personal information online - for example on message boards, through e-mail or in chat areas - that information can be collected and used by others. No data transmission over the Internet or any wireless network can be guaranteed to be perfectly secure. As a result, while we try to protect your personal information, we cannot ensure or guarantee the security of any information you transmit to us, and you do so at your own risk. Access to our database is protected by physical plant security, with access limited to few personnel. Our database IP is only accessible through our application and not visible over the Internet. We have also taken those steps required of us under the Health Information Technology for Economic and Clinical Health ("HITECH") and HIPAA to protect the security and privacy of any patient information housed on our website.
  • MINOR POLICY

    Each practice is responsible for granting or restricting minors' access to this site based on their applicable state laws. Certain states may restrict use of this site by minors. We have no way of monitoring or distinguishing the age of individuals who access this site and so we carry out the same Privacy Policy for individuals of all ages. If a minor has provided us with personally identifying information without parental or guardian consent, the parent or guardian should contact the practice to restrict access and remove the information.

    You represent that you are of sufficient legal age to use this site and to create binding legal obligations for any liability you may incur as a result of the use of this site. You understand that you are financially responsible for all uses of this site by you and those using your login information.
  • DISCLAIMER OF WARRANTIES AND LIMITATION OF LIABILITY

    THIS SITE IS PROVIDED ON AN "AS IS" AND "AS AVAILABLE" BASIS. PALMER EYE ASSOCIATES AND/OR PALMER OPTICAL MAKE NO REPRESENTATIONS OR WARRANTIES OF ANY KIND, EXPRESS OR IMPLIED, AS TO THE OPERATION OF THIS SITE OR THE INFORMATION, CONTENT, MATERIALS, OR PRODUCTS INCLUDED ON THIS SITE. YOU EXPRESSLY AGREE THAT YOUR USE OF THIS SITE IS AT YOUR SOLE RISK. TO THE FULL EXTENT PERMISSIBLE BY APPLICABLE LAW, WE DISCLAIMS ALL WARRANTIES, EXPRESS OR IMPLIED, INCLUDING, BUT NOT LIMITED TO, IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. WE DO NOT WARRANT THAT THIS SITE, ITS SERVERS, OR E-MAIL SENT FROM US ARE FREE OF VIRUSES OR OTHER HARMFUL COMPONENTS. WE WILL NOT BE LIABLE FOR ANY DAMAGES OF ANY KIND ARISING FROM THE USE OF THIS SITE, INCLUDING, BUT NOT LIMITED TO DIRECT, INDIRECT, INCIDENTAL, PUNITIVE, AND CONSEQUENTIAL DAMAGES. CERTAIN STATE LAWS DO NOT ALLOW LIMITATIONS ON IMPLIED WARRANTIES OR THE EXCLUSION OR LIMITATION OF CERTAIN DAMAGES. IF THESE LAWS APPLY TO YOU, SOME OR ALL OF THE ABOVE DISCLAIMERS, EXCLUSIONS, OR LIMITATIONS MAY NOT APPLY TO YOU, AND YOU MIGHT HAVE ADDITIONAL RIGHTS.
  • APPLICABLE LAW

    CERTAIN STATE LAWS DO NOT ALLOW LIMITATIONS ON IMPLIED WARRANTIES OR THE EXCLUSION OR LIMITATION OF CERTAIN DAMAGES. IF THESE LAWS APPLY TO YOU, SOME OR ALL OF THE ABOVE DISCLAIMERS, EXCLUSIONS, OR LIMITATIONS MAY NOT APPLY TO YOU, AND YOU MIGHT HAVE ADDITIONAL RIGHTS. PALMER EYE ASSOCIATES & PALMER OPTICAL AND ANY OF THEIR WEBSITE PROPERTIES ("SITE") DO NOT RENDER MEDICAL ADVICE VIA THESE SERVICES. SITE CONTENT IS NOT INTENDED IN ANY WAY TO BE A SUBSTITUTE FOR PROFESSIONAL MEDICAL ADVICE FROM YOUR HEALTH CARE TEAM. ALL CONTENT PROVIDED BY PALMER EYE ASSOCIATES & PALMER OPTICAL PATIENT PORTAL AND/OR ITS PARTNERS OR OTHER THIRD PARTY VENDORS IS GENERAL IN NATURE, IS PRESENTED IN SUMMARY FORM, AND IS PROVIDED FOR INFORMATIONAL PURPOSES ONLY TO IMPROVE YOUR COLLABORATION WITH YOUR HEALTH CARE TEAM. THIS WEBSITE IS NOT INTENDED FOR USE IN THE DIAGNOSIS OF DISEASE OR OTHER CONDITIONS, OR IN THE CURE, MITIGATION, TREATMENT, OR PREVENTION OF DISEASE. ALWAYS SEEK THE ADVICE OF YOUR PHYSICIAN OR OTHER QUALIFIED HEALTHCARE PROFESSIONAL FOR YOUR QUESTIONS CONCERNING A MEDICAL OR CLINICAL CONDITION, DECISIONS, GUIDELINES, MANAGEMENT OR TREATMENT. DO NOT RELY ON CONTENT, GUIDELINES, PRODUCTS OR ANY OTHER SERVICE OFFERED BY OR THROUGH PALMER EYE ASSOCIATES & PALMER OPTICAL PATIENT PORTAL OR THE SITE FOR MEDICAL OR CLINICAL DECISIONS, DIAGNOSIS, MANAGEMENT OR TREATMENT. NEVER DISREGARD MEDICAL ADVICE OR DELAY IN SEEKING IT BECAUSE OF SOMETHING YOU HAVE READ ON THIS SITE.
  • RELEASE

    Because this service is not intended for the rendering of medical advice, in the event that you have a dispute with any individual and/or entity that arises out of your use of Palmer Eye Associates & Palmer Optical Patient Portal, you release Palmer Eye Associates & Palmer Optical (and our officers, directors, agents, subsidiaries and employees) from claims, demands and damages (actual and consequential) of every kind and nature, known and unknown, suspected and unsuspected, disclosed and undisclosed, arising out of or in any way connected with such disputes.
  • MODIFICATION AND SEVERABILITY

    We reserve the right to make changes to our site, policies, and these Conditions of Use at any time. Any changes to our policies will be communicated through our web site at least in advance of its effective date. Information collected before changes are made will be secured according to the previous policies. If any of these conditions shall be deemed invalid, void, or for any reason unenforceable, that condition shall be deemed severable and shall not affect the validity and enforceability of any remaining condition.
  • GENERAL

    This Agreement shall be governed in all respects by the laws of the Commonwealth of Pennsylvania as such laws are applied to agreements entered into and to be performed entirely within Pennsylvania. We do not guarantee continuous, uninterrupted or secure access to our services, and operation of our site may be interfered with by numerous factors outside of our control. If any provision of this Agreement is held to be invalid or unenforceable, such provision shall be struck and the remaining provisions shall be enforced. You agree that this Agreement and all incorporated agreements may be automatically assigned by Palmer Eye Associates & Palmer Optical, in our sole discretion, to a third party in the event of a merger or acquisition. Headings are for reference purposes only and in no way define, limit, construe or describe the scope or extent of such section. Our failure to act with respect to a breach by you or others does not waive our right to act with respect to subsequent or similar breaches. This Agreement sets forth the entire understanding and agreement between us with respect to the subject matter hereof. The United States controls the export of products and information from US companies abroad across the Internet. You are responsible for compliance with all federal and local laws regarding the import, export, or re-export of the Contents of this site (all forms of intellectual property, including Software). Sections on Release, License, Liability Limit and Indemnity shall survive any termination or expiration of this Agreement.
  • If you have any questions regarding this website, your enrollment or any other question, please contact us at palmeroptical@aol.com.
  • Our Address:
    Palmer Eye Associates
    Palmer Optical, LLC
    2925 William Penn Highway
    Suite 300
    Easton, PA 18045-5283
  • Note: Each patient will require a separate username and Patient Portal Enrollment Form.