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This notice describes how the Hopkins Eye Clinic may use and disclose your healthcare information, and how you can obtain access to this information. Please review it carefully.

The Hopkins Eye Clinic is required by law to maintain the privacy of your protected health information. This information consists of all records related to your health, including demographic information, either created by the Hopkins Eye Clinic or received by the Hopkins Eye Clinic from other healthcare providers.

We are required to provide you with notice of our legal duties and privacy practices with respect to your protected health information. These legal duties and privacy practices are described in this notice. The Hopkins Eye Clinic will abide by the terms of this notice, or the notice currently in effect at the time of the use or disclosure of your protected health information.

The Hopkins Eye Clinic reserves the right to change the terms of this notice and to make any new provisions effective for all protected health information that we maintain. Patients will be provided a copy of any revised notices upon request. An individual may obtain a copy of the current notice from our office at anytime.

This notice prepared in accordance with the Health Insurance Portability and Accountability Act, HIPAA.

This notice of privacy practices is effective April 14, 2003.

HOPKINS EYE CLINIC
29 9TH AVE N
HOPKINS, MN 55343-7616
Ph: (952) 935-2020

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