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 01/06/2003 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 Portability and Accessibility Act (HIPAA), Dr. Kim B. Even can use your protected health information for treatment, payment and health care operations.
a) Treatment - Examples of how we use or disclose information for treatment purposes are: setting up an appointment for you, examining your eyes, referring you to another doctor for eye care services, or getting copies of your health information from another professional that you may have seen before us.
b) Payment - For example, we may ask you about your health or vision care plans or we may send out bills or claims for our services.
c) Health care operations - We may use and disclose your health information in connection with our healthcare operations. Healthcare operations examples include personnel decisions, participation in managed care plans, business planning, and financial or billing audits.

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.

Other Uses and Disclosures:
We will not make any other uses or disclosures of your health information unless you sign a written "authorization form." If you sign one, you may revoke it at any time unless we have already acted in reliance upon it. Revocations must be in writing.

Your Rights Regarding Your Health Information:
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 see and copy your protected health information.
-You have the right to amend your protected health information if you think that it is incorrect or incomplete.
-You have the right to receive a list of disclosures of your protected health information. By law, the list will not include: disclosures for purposes of treatment, payment, or health care operations; disclosures with your authorization, incidental disclosures, disclosures required by law, and some other limited disclosures.
-You have the right to a paper copy of this Notice of Privacy Practices upon request.

Our Notice of Privacy Practices:
By law, we must abide by the terms of this Notice of Privacy Practices until we choose to change it. We reserve the right to change this notice at any time as allowed by law. If we change this Notice, the new privacy practices will apply to your health information that we already have as well as to such information that we may generate in the future. If we change our Notice of Privacy Practices, we will post the new notice in our office and have copies available in our office.

Complaints:
If you think we have not properly respected the privacy of your health information, you are free to complain to us or the U.S. Department of Health and Human Services, Office for Civil Rights. We will not retaliate against you if you make a complaint.

Contact Information:
For further information about our privacy policies, please contact Dr. Kim B. Even at the following address or phone number:
Dr. Kim B. Even
221 N. Henderson Road
King of Prussia, PA 19406
(610) 265-0765