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Notice of Privacy Practices

Eyeballs
621 5th Ave N, Suite B
Seattle, WA 98109
(206) 217-2015

Your Rights Regarding Your Health Information

The law gives you many rights regarding your health information. You can:

If you want additional paper copies, send a written request to the office contact person at the address, fax or e-mail shown at the beginning of this notice.

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 notice in our office, have copies available in our office, and post it on our web site.

Complaints

If you think that 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. If you want to complain to us, send a written request to the office contact person at the address, fax or e-mail shown at the beginning of this notice. If you prefer, you can discuss your complaint in person or by phone.

For More Information

If you want more information about our privacy practices, call or visit the office contact person at the address of phone number shown at the beginning of this notice. More information can also be found at www.hhs.gov/ocr/privacy