Find OF PRIVACY PRACTICES Effective Apr 14, 2003 THIS Detect DESCRIBES HOW MEDICAL Information ABOUT You lot MAY Be USED AND DISCLOSED AND HOW YOU CAN Become Admission TO THIS Data. PLEASE REVIEW IT Carefully. As office of the federal Health Insurance Portability and Accountability Act of 1996, known equally HIPAA, the pharmacy has created this Find of Privacy Practices (Notice). This Detect describes the pharmacy's private practices and the rights yous, the individual, accept as they relate to the privacy of your Protected Health Information (PHI). Your PHI is information about y'all, or that could be used to place you, equally information technology relates to your past and nowadays physical and mental health care services. The HIPAA regulations crave that the chemist's shop protect the privacy of your PHI that the pharmacy has received or created. This chemist's volition bide past the terms presented within this Notice. For any uses or disclosures that are not listed beneath, the chemist's will obtain a written authorization from you for that use or disclosure, which you volition accept the correct to revoke at any time, as explained in more detail below. The pharmacy reserves the right to change the pharmacy's privacy practices and this Notice. Revisions to the Notice will exist posted in the pharmacy and upon your request, provided to you in a paper format. HOW THE PHARMACY MAY Utilize AND DISCLOSE YOUR PHI The following is an accounting of the ways that the pharmacy is permitted, by law, to apply and disclose your PHI. Uses and disclosures of PHI for Treatment: We will utilize the PHI that nosotros receive from you to fill your prescription and coordinate or manage your wellness care. Uses and disclosures of PHI for Payment: The pharmacy will disclose your PHI to obtain payment or reimbursement form insurers for your health care services. Uses and disclosures of PHI for Health Care Operations: The pharmacy will utilise your PHI to conduct quality assessments, improvement activities, and evaluate the chemist's workforce. The following is an accounting of additional ways in which the pharmacy is permitted or required to use or disembalm phi nearly y'all without your written authorisation: Uses and disclosures every bit required by law: The pharmacy is required to use and disclose PHI about yous as required and as express by constabulary. Uses and disclosures for public wellness activities: The pharmacy may utilise or disembalm PHI about yous to a public health authority that is authorized by police to collect for the purpose of preventing, decision-making disease, injury, or disability. Uses and disclosure well-nigh victims of abuse, neglect or domestic violence: The chemist's may use or disembalm PHI about you to a regime authority if information technology is reasonably believed you are a victim of abuse, fail or domestic violence. Uses and disclosures for health oversight activities: The chemist's shop may use or disclose PHI about y'all to a wellness oversight agency for oversight activities that it is authorized past law to comport. Disclosures for judicial and administrative proceedings: The pharmacy may disclose PHI near you in the course of any judicial or authoritative proceedings, provided that proper documentation is presented to the pharmacy. Disclosures for law enforcement purposes: The pharmacy may disclose PHI about you to law enforcement officials for authorized purposes. Uses and disclosures about the deceased: The pharmacy may disclose PHI about a deceased, or prior to, and in reasonable anticipation of an individual's death, to coroners, medical examiners, and funeral directors. Uses and disclosures for cadaveric organ, centre or tissue donation purposes: The pharmacy may employ and disclose PHI for the purpose of procurement, banking, or transplantation of cadaveric organs, eyes, or tissues for donation purposes. Uses and disclosures for enquiry purposes: The pharmacy may use and disclose PHI almost yous for research purposes with valid waiver of authorization approved by an institutional review lath or a privacy board. Otherwise, the pharmacy will request a signed authorization past the individual for all other research purposes. Uses and disclosures to avert a serious threat to health or safety: The pharmacy may use or disclose PHI about you, if it believed in good faith, and is consequent with any applicable law and standards of ethical conduct, to avert a serious threat to wellness or safety. Uses and disclosures for specialized government functions: The pharmacy may use or disembalm PHI about you for specialized authorities functions including; military and veteran's activities, national security and intelligence, protective services, department of state functions, and correctional institutions and law enforcement custodial situations. Disclosure for workers' compensation: The chemist's may disembalm PHI about you lot as authorized by and to the extent necessary to comply with workers' bounty laws or programs established past law. Disclosures for disaster relief purposes: The pharmacy may disembalm PHI about you as authorized by law to a public or individual entity to assist in disaster relief efforts. Disclosures to business associates: The pharmacy may disembalm PHI about you to the chemist's'due south business assembly for services that they may provide to or for the pharmacy. OTHER USES AND DISCLOSURES The pharmacy may contact you lot for the following purposes: Refill reminders: The pharmacy may contact you to remind you of your prescription upon such time they are fix to be refilled. Information about treatment alternatives: The chemist's may contact y'all to notify you of culling treatments and/or products. Wellness related benefits or services: The chemist's may use your PHI to notify you of benefits and services the pharmacy provides. Fundraising: If the chemist's shop participates in a fundraising activity, the chemist's shop may use demographic PHI to send you lot a fundraising packet, or the chemist's shop may disclose demographic PHI about you to its business acquaintance or an institutionally related foundation to send you lot a fundraising package. No further disclosure will be allowed by the business associates or an institutionally related foundation without your written authorization. FOR ALL OTHER USES AND DISCLOSURES The pharmacy volition obtain a written authorization from you for all other uses and disclosures of PHI, and the pharmacy will simply use or disembalm pursuant to such an authorization. In addition, you may revoke such an authorization in writing at any fourth dimension. To revoke a previously authorized use or disclosure, please contact the pharmacy. YOUR Health Data RIGHTS The post-obit are a list of your rights in respect to your PHI. Asking restrictions on sure uses and disclosures of your PHI: Y'all have the right to request additional restrictions of the pharmacy?due south uses and disclosures of your PHI; still, the chemist's is not required to accommodate a request. If yous wish to request additional restrictions, please obtain the grade, Asking for Restriction of Uses & Disclosures, from the chemist's and return the completed class to the pharmacy. The right to accept your PHI communicated to you lot by alternate ways or locations: You have the correct to request that the chemist's shop communicate confidentially with you using an address or phone number other than your residence. Nevertheless, state and federal laws crave the pharmacy to have an accurate address and home phone number in case of emergencies. The pharmacy will consider all reasonable requests. If you wish to request a modify in your communicating address and/or telephone number, delight obtain a form, Asking for Culling Arrangements for Confidential Communication, from the chemist's shop and return the completed grade to the pharmacy. The right to inspect and/or obtain a copy of your PHI: You accept the right to request access and/or obtain a copy of your PHI that is independent in the chemist's for the duration the pharmacy maintains PHI about you. If you wish to inspect or obtain a re-create of your PHI, delight obtain a course, Request for Access to Records, from the chemist's and return the completed form to the pharmacy. There may be a reasonable cost-based charge for photocopying documents. You will be notified in accelerate of incurring such charges, if any. The right to amend your PHI: Yous have the right to request an subpoena of the PHI the pharmacy maintains about you, if you feel that the PHI the chemist's has maintained about you is incorrect or otherwise incomplete. Nether sure circumstances nosotros may deny your request. If we practice deny the request, you will have the right to have the deprival reviewed by someone nosotros designate who was not involve in the initial review. You may inquire to Secretary, United States Section of Health and Homo Services, or their appropriate designee, to review such a deprival. If yous wish to amend your PHI files, please obtain a form, Request for Amendment of PHI, from the chemist's shop and return the completed form to the pharmacy. The right to receive and bookkeeping of disclosures of your PHI: You have the right to receive an accounting of sure disclosures of your PHI made by the pharmacy. If you wish to receive an accounting of disclosures of your PHI, please obtain course, Request for Accounting of Disclosures, from the pharmacy and return the completed class to the chemist's shop. You should be aware; however, that such an bookkeeping excludes uses and disclosures made for treatment, payment and health care operations purposes. The right to receive boosted copies of the Pharmacy?southward Notice of Privacy Practices: you take the right to receive additional paper copies of this Observe, upon asking, even if you initially agreed to receive the Notice electronically. If you with to receive a paper copy of this notice, please ask a pharmacy workforce member and they will provide you with a re-create. REVISIONS TO THE Notice OF PRIVACY PRACTICES The pharmacy reserves the right to change and/or revise this Notice and make the new revised version applicable to all PHI received prior to its constructive date. The revised Notice will be available, upon asking, to all individuals. The chemist's will also post the revised version of the Notice in the pharmacy. COMPLAINTS If y'all believe your privacy rights accept been violated, you may file a complaint with the chemist's shop and/or to the Secretary of HHS, or his designee. If you wish to file a complaint with the pharmacy, please contact the Privacy Officer. If you wish to file a complaint with the Secretary, delight write to: The U.S. Section of Health and Human Services Office of the Inspector Full general 200 Independence Ave, S.W. Washington, D.C. 20201 The pharmacy will not take any agin action confronting yous every bit a result of your filing of a complaint. CONTACT Information If you accept any questions on the pharmacy'southward privacy practices or for description on anything contained within the Notice, please contact:
My Best Pharmacy
1050 Gateway Boulevard Suite 101
Boynton Beach, FL 33426
Phone: (561) 200-4245
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