Contact Us
611 Broadway
San Francisco, CA 94133
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Phone: 415-982-0388
Fax: 415-217-7010
e-mail us

Hours
Monday - Saturday
10:00am - 6:00pm

Sunday
Closed

Complimentary parking with examination or purchase.
Vallejo Street Garage
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North Beach Parking Garage
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Notice of Privacy Practices 

Effective January 1, 2018
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please read it carefully.
We respect our legal obligation to keep private the health information that identifies you. Under the Health Insurance Portability Act (HIPPA), you have the right to adequate notice of the uses and disclosures of your protected health information and Dr. Avon Wai Kwong will use or disclose your health care information in the following ways.
1. Treatment: We can use your health care information and share it with other professionals who are treating you.
2. Run our organization. We can use and share your health information to run our practice, improve your care, and contact you when necessary.
3. Bill for your services. We can use and share your health information to bill and get payment from health plans or other entities.

Required by law: When required by law, we may use or disclose your information.
1. Public health, safety and research
2. Worker’s Compensation, law enforcement, court or administrative orders.
4. Reporting suspected abuse, neglect, or domestic violence
5. Preventing or reducing a serious threat to anyone’s health or safety

Your Choices: If you have a clear preference for how we share your information in the following situations let us know.
1. Share information with your family, close friends, or others involved in your care
2. Share information in a disaster relief situation
3. Include your information in a hospital directory

Emergency Situations: In case you are unconscious or incapacitated, we may go ahead and share your information if we believe it is in your best interest. We may also share relevant healthcare information when needed to lessen a serious and imminent threat to health or safety.

Marketing: We will never sell your information. We will not use your health information for marketing purposes without your written authorization.

Appointment Reminders: We may call, e-mail, or write you of scheduled appointments, or that it is time to make a routine appointment. We may also call or write to notify you of other treatments or services available at our office that might help you.

Legal Requirements:
1. We are required by law to maintain the privacy and security of your protected health information. 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. The new policy will be posted and copies available in our office.
2. Let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
3. Follow the duties and privacy practices described in this notice and give you a copy of it.
4. Not use or share your information other than as described here unless you tell us we can in writing.
5. We can change the terms of this notice, and the changes will apply to all information we have about you. This new notice will be available upon request in our office.

Your Rights:
-Request confidential communications
-Get an electronic or paper copy of your medical record.
-Restrict the disclosure of your protected health information in writing. The request may be denied if the information is necessary for treatment, payment, or health care operations.
-Amend your protected health information. We may say “no” to the request but will inform you why in 60 days.
-Receive an account disclosure list of your protected health information.
-Copy of this privacy notice-Choose someone to act for you.

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 of Civil Rights. We will not retaliate against you for the complaint. If you want to complain to us, send a written complaint to Dr. Avon Wai Kwong, O.D.at the address, e-mail, or fax below. If you prefer, you can discuss your complaint in person or by phone.

More information: If you want more information about our privacy practices, call or visit Dr. Avon Wai Kwong, O.D. at the address or phone number below.

Contact Information:
Avon Wai Kwong, O.D.
611 Broadway
San Francisco, CA 94133
Phone: 415-982-0388
Fax: 415-217-7010
E-mail: eyestudiosf@yahoo.com

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