THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

THIS NOTICE IS EFFECTIVE 01/01/2003 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 PORATBILITY AND ACCESSIBLITY ACT (HIPAA),K&K OPTICAL 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 IMPROVEMNT ACTIVITIES, REVIEWING THE COMPETENCY OR QUALIFICATIONS OF HEALTHCARE PROFESSIONALS,EVALUATING PROVIDER PERFORMANCE,CONDUCTING TRAINING PROGRAMS, ACCREDIATION,CERTIFACTION, LICENSING OR CREDENTIALING ACTIVITES. 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. MARKETING: WE WILL NOT USE YOUR HEALTH INFORMATION FOR MARKETING COMMUNTICATIONS WITHOUT YOUR WRITTEN AUTHORIZATION. REQUIRED BY LAW: WE MAY ALSO USE OR DISCLOSE YOUR HELATH INFORMATION WHEN WE ARE REQUIRED TO DO SO BY LAW. ABUSE OR NEGLECT: WE MAY DISCLOSE YOUR HEALTH INFORMATON TO APPROPRATE AUTHORIES IF WE REASONABLY BELIEVE THAT YOU ARE A POSSIBLE VICTIOM OF ABUSE,NEGLECT,OR DOMESTIC VIOLENCE OR THE VICTIM OF OTHER CRIMES. WE MAY DISCLOSE YOUR HELATH INFORMATION TO THE EXTENT NECESSARY TO AVERT A SERIOUS THREAT TO YOUR OR OTHER PEOPLE'S HEALTH OR SAFTEY. NATIONAL SECURITY: WE MAY DISCLOSE THE HEATLH 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 SECUTIRY ACTIVITES. WE MAY DISCLOSE HEALTH INFORMATION OF INMATES OR PATIENTS TO THE APPROPRIATE AUTHORITES 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.