HIPAA Statement
Notice of Privacy Practices
Blue Sky Hearing
3017 Telegraph Ave, STE 230
Berkeley, CA 94705
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.
Our Commitment to Your Privacy
Blue Sky Hearing is committed to protecting the privacy of your protected health information (PHI). We are required by law to maintain the privacy of your health information, provide you with this notice of our legal duties and privacy practices, and follow the terms of the notice currently in effect.
How We May Use and Disclose Your Health Information
Treatment
We may use your health information to provide and coordinate your audiological care, including hearing evaluations, fittings, and follow-up services. We may share information with other providers involved in your care.
Payment
We may use and disclose your health information to bill and collect payment for services from you, your insurance company, or another third party.
Healthcare Operations
We may use your health information for internal operations such as quality assessment, staff training, and improving our services.
Appointment Reminders and Communications
We may contact you to provide appointment reminders or information about treatment options and other health-related services.
Disclosures That May Be Required or Permitted by Law
We may disclose your health information without your authorization when required by law, for public health activities, to report abuse or neglect, for health oversight activities, in judicial or administrative proceedings, for law enforcement purposes, to coroners or medical examiners, for research under certain conditions, to avert a serious threat to health or safety, and for workers’ compensation or military and national security purposes.
Uses and Disclosures Requiring Your Authorization
Other uses and disclosures of your health information not described above will be made only with your written authorization. This includes most uses of psychotherapy notes, uses for marketing purposes, and any sale of your health information. You may revoke an authorization in writing at any time, except to the extent we have already acted on it.
Your Rights Regarding Your Health Information
You have the right to:
Request restrictions on certain uses and disclosures of your information, though we are not required to agree to all requests.
Request to receive confidential communications by alternative means or at an alternative location.
Inspect and obtain a copy of your health information, subject to certain limited exceptions.
Request an amendment to your health information if you believe it is incorrect or incomplete.
Receive an accounting of certain disclosures we have made of your health information.
Obtain a paper copy of this notice upon request, even if you have agreed to receive it electronically.
Changes to This Notice
We reserve the right to change this notice and to make the revised notice effective for health information we already have as well as any information we receive in the future. The current notice will be posted in our office and on our website, with the effective date noted.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with our office or with the U.S. Department of Health and Human Services, Office for Civil Rights. You will not be penalized or retaliated against for filing a complaint.
Contact Information
To exercise any of your rights, ask questions, or file a complaint, please contact our Privacy Officer:
Blue Sky Hearing
3017 Telegraph Ave, STE 230
Berkeley, CA 94705
Phone: 510-930-1581
Email: drstorm@blueskyhearing.com
Last Updated: 06/29/2026
