Privacy Notice
WELCOME
We would like to welcome you to our practice. The professionals at our practice provide each patient with quality vision solutions and exceptional customer service. Our staff is experienced in all areas of vision care. Maintaining healthy eyes requires regular vision and eye exams. We look forward to serving you.
NOTICE OF PRIVACY PRACTICES
Note: This Notice of Privacy Practices is provided for educational and informational purposes only. This Notice is not intended as legal advice, and is not provided for adoption or publication by any party. The publication of any such notice may create legal obligations or liabilities which may vary depending upon the legal status and
business operations of different organizations. The form and content of any Notice of Privacy Practices should be determined only upon informed consultation with qualified legal counsel.
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 12/12/02 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), Marin 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 uthorities 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:
Marin 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:
For further information about Marin Optometry's privacy policies, please contact Dr. Channie Duhn at the following address or phone number:
Marin Optometry
158 Throckmorton
Mill Valey, Ca. 94941
415-388-8262
NAME AND TITLE: Dr. Channie Duhn
BIOGRAPHY: Dr. Channie Duhn received her undergraduate and doctorate degrees
from UC Berkeley. She has been in practice for eleven years and is a member of the California Optometric Association as well as the American Optometric Association.
LIST OF SERVICES: Comprehensive eye exams, diagnosis and treatment of ocular disease and injury, complete contact lens services including all specialty lens products, co-management for laser and cataract surgeries and frame styling to complement your lifestyle. Outside prescriptions welcome.
LIST OF PAYMENT: Cash, Checks, Visa, Mastercard
LIST OF ACCEPTED INSURANCE: VSP, MES
FACILITIES AND EQUIPMENT: In-Office, State of The Art optical laboratory. Extensive frame selection including: Kawasaki, 2.5 Eyephorics, Donna Karan, Calvin Klein, Jean Lafont, T-2 System from Switzerland, Robert LaRoche, Kata & Beausoleil. Sportswear by Maui Jim, Nike, Bolle' & Porche, plus many others.
Did you know that your insurance may cover prescription sunglasses?
We have a wide varity of frames that will help you look great and protect your
eyes!
The sun's so bright you've gotta' wear shades... We have sunglasses
with polarized lenses. Come in and see the difference.
We would like to welcome you to our practice. The professionals at our practice provide each patient with quality vision solutions and exceptional customer service. Our staff is experienced in all areas of vision care. Maintaining healthy eyes requires regular vision and eye exams. We look forward to serving you.
NOTICE OF PRIVACY PRACTICES
Note: This Notice of Privacy Practices is provided for educational and informational purposes only. This Notice is not intended as legal advice, and is not provided for adoption or publication by any party. The publication of any such notice may create legal obligations or liabilities which may vary depending upon the legal status and
business operations of different organizations. The form and content of any Notice of Privacy Practices should be determined only upon informed consultation with qualified legal counsel.
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 12/12/02 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), Marin 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 uthorities 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:
Marin 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:
For further information about Marin Optometry's privacy policies, please contact Dr. Channie Duhn at the following address or phone number:
Marin Optometry
158 Throckmorton
Mill Valey, Ca. 94941
415-388-8262
NAME AND TITLE: Dr. Channie Duhn
BIOGRAPHY: Dr. Channie Duhn received her undergraduate and doctorate degrees
from UC Berkeley. She has been in practice for eleven years and is a member of the California Optometric Association as well as the American Optometric Association.
LIST OF SERVICES: Comprehensive eye exams, diagnosis and treatment of ocular disease and injury, complete contact lens services including all specialty lens products, co-management for laser and cataract surgeries and frame styling to complement your lifestyle. Outside prescriptions welcome.
LIST OF PAYMENT: Cash, Checks, Visa, Mastercard
LIST OF ACCEPTED INSURANCE: VSP, MES
FACILITIES AND EQUIPMENT: In-Office, State of The Art optical laboratory. Extensive frame selection including: Kawasaki, 2.5 Eyephorics, Donna Karan, Calvin Klein, Jean Lafont, T-2 System from Switzerland, Robert LaRoche, Kata & Beausoleil. Sportswear by Maui Jim, Nike, Bolle' & Porche, plus many others.
Did you know that your insurance may cover prescription sunglasses?
We have a wide varity of frames that will help you look great and protect your
eyes!
The sun's so bright you've gotta' wear shades... We have sunglasses
with polarized lenses. Come in and see the difference.