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.

THIS NOTICE IS EFFECTIVE 12/12/10
UNTIL FURTHER NOTICE.

Right to Notice
As a patient, you have the right to adequate
notice of the uses and disclosures of your
protected health information. Under the
Health Insurance Portability and
Accessibility Act (HIPAA), Drs Hall & Chu
Optometry can use your protected health
information for treatment, payment and
health care operations.
a) Treatment - We may use or disclose
your health information to a physician or
other healthcare provider providing
treatment to you.
b) Payment - We may use and disclose
your health information to obtain payment
for services we provide you.
c) Health care operations - We may use
and disclose your health information in
connection with our healthcare operations.
Healthcare operations include quality
assessment and improvement activities,
reviewing the competency or qualifications
of healthcare professionals, evaluating
provider performance, conducting training
programs, accreditation, certification,
licensing or credentialing activities.

Your Authorization
Most uses and disclosures that do not fall
under treatment, payment, health care
operations will require your written
authorization. Upon signing, you may
revoke your authorization (in writing)
through our practice at any time.

Emergency Situations
In the event of your incapacity or an
emergency situation, we will disclose
health information to a family member, or
another person responsible for your care,
using our professional judgment. We will
only disclose health information that is
directly relevant to the person's
involvement in your healthcare.

Marketing
We will not use your health information for
marketing communications without your
written authorization.

Required by Law
We may also use or disclose your health
information when we are required to do so
by law.

Abuse or Neglect
We may disclose your health information
to appropriate authorities if we reasonably
believe that you are a possible victim of
abuse, neglect, or domestic violence or
the victim of other crimes. We may
disclose your health information to the
extent necessary to avert a serious threat
to your or other people's health or safety.

National Security
We may disclose the health information of
Armed Forces personnel to military
authorities under certain circumstances.
We may disclose health information to
authorized federal officials required for
lawful intelligence, counterintelligence and
other national security activities. We may
disclose health information of inmates or
patients to the appropriate authorities
under certain circumstances.

Appointment Reminders
We may use or disclose your health
information to provide you with
appointment reminders via phone, e-mail
or letter.

Your Rights as a Patient
You have the right to restrict the disclosure
of your protected health information (in
writing). The request for restriction may be
denied if the information is required for
treatment, payment or health care
operations.
-You have the right to receive confidential
communications regarding your protected
health information.
-You have the right to inspect and copy
your protected health information.
-You have the right to amend your
protected health information.
-You have the right to receive an account of
disclosures of your protected health
information.
-You have the right to a paper copy of this
notice of privacy practices.

Legal Requirements
Dr.'s Hall & Chu Optometry is required by
law to maintain the privacy of your
protected health information. We are
required to abide by the terms of this
notice as it is currently stated, and reserve
the right to change this notice. The policies
in any new notice will not be in effect until
they are posted to this site, or are available
within our office.

Complaints
If you have complaints regarding the way
your protected health information was
handled, you may submit a complaint in
writing to our office. You will not be
retaliated against in any manner for a
complaint.

Contact information about Drs Hall &
Chu's privacy Information:

For further policies, please contact Drs
Hall & Chu Optometry at the following
address or phone number:

Drs Hall & Chu Optometry
383 Sacramento Street
SF, CA 94111
415-781-2020