Discover OF PRIVACY PRACTICES Effective Apr 14, 2003 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION Nigh You lot MAY BE USED AND DISCLOSED AND HOW Yous Tin Become ACCESS TO THIS Data. Please REVIEW It Carefully. Every bit part of the federal Health Insurance Portability and Accountability Act of 1996, known equally HIPAA, the pharmacy has created this Discover of Privacy Practices (Notice). This Notice describes the chemist's shop'due south individual practices and the rights you, the individual, accept as they chronicle to the privacy of your Protected Health Information (PHI). Your PHI is data about you, or that could be used to identify yous, as information technology relates to your by and present concrete and mental health care services. The HIPAA regulations require that the chemist's protect the privacy of your PHI that the pharmacy has received or created. This chemist's shop will abide by the terms presented within this Notice. For any uses or disclosures that are not listed below, the pharmacy volition obtain a written authorization from you for that utilize or disclosure, which yous will have the right to revoke at whatsoever time, equally explained in more than detail below. The pharmacy reserves the right to change the chemist's's privacy practices and this Detect. Revisions to the Discover will be posted in the pharmacy and upon your request, provided to you in a paper format. HOW THE PHARMACY MAY USE AND DISCLOSE YOUR PHI The following is an accounting of the ways that the pharmacy is permitted, past constabulary, to use and disembalm your PHI. Uses and disclosures of PHI for Handling: We will use the PHI that we receive from you to make full your prescription and coordinate or manage your health care. Uses and disclosures of PHI for Payment: The pharmacy will disclose your PHI to obtain payment or reimbursement grade insurers for your health care services. Uses and disclosures of PHI for Health Care Operations: The pharmacy will utilize your PHI to carry quality assessments, improvement activities, and evaluate the pharmacy workforce. The following is an accounting of additional ways in which the pharmacy is permitted or required to utilize or disclose phi virtually yous without your written authority: Uses and disclosures as required by law: The pharmacy is required to use and disembalm PHI about you as required and equally express by constabulary. Uses and disclosures for public health activities: The pharmacy may use or disclose PHI about you to a public health authority that is authorized by constabulary to collect for the purpose of preventing, controlling illness, injury, or disability. Uses and disclosure about victims of abuse, neglect or domestic violence: The chemist's shop may utilise or disclose PHI about you to a government authority if it is reasonably believed you are a victim of abuse, neglect or domestic violence. Uses and disclosures for wellness oversight activities: The chemist's shop may use or disembalm PHI almost y'all to a health oversight agency for oversight activities that it is authorized past law to acquit. Disclosures for judicial and administrative proceedings: The pharmacy may disclose PHI about y'all in the grade of whatever judicial or administrative proceedings, provided that proper documentation is presented to the pharmacy. Disclosures for law enforcement purposes: The chemist's shop may disclose PHI well-nigh you to law enforcement officials for authorized purposes. Uses and disclosures about the deceased: The chemist's shop may disembalm PHI about a deceased, or prior to, and in reasonable anticipation of an private'due south expiry, to coroners, medical examiners, and funeral directors. Uses and disclosures for cadaveric organ, middle or tissue donation purposes: The pharmacy may use 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 disembalm PHI nearly you lot for research purposes with valid waiver of authorization canonical by an institutional review board or a privacy lath. Otherwise, the pharmacy volition request a signed say-so by the private for all other research purposes. Uses and disclosures to avert a serious threat to health or safety: The pharmacy may use or disclose PHI almost y'all, if information technology believed in good religion, and is consistent with any applicable constabulary and standards of ethical conduct, to avert a serious threat to wellness or condom. Uses and disclosures for specialized government functions: The pharmacy may use or disclose PHI about you for specialized government functions including; military and veteran's activities, national security and intelligence, protective services, department of land functions, and correctional institutions and law enforcement custodial situations. Disclosure for workers' bounty: The pharmacy may disembalm PHI about you lot as authorized by and to the extent necessary to comply with workers' compensation laws or programs established by law. Disclosures for disaster relief purposes: The pharmacy may disclose PHI virtually you equally authorized by police to a public or private entity to aid in disaster relief efforts. Disclosures to business associates: The pharmacy may disclose PHI near you to the pharmacy's business associates for services that they may provide to or for the chemist's. OTHER USES AND DISCLOSURES The chemist's shop may contact y'all for the following purposes: Refill reminders: The pharmacy may contact you to remind you of your prescription upon such time they are gear up to be refilled. Information almost treatment alternatives: The chemist's shop may contact you to notify you of alternative treatments and/or products. Health related benefits or services: The pharmacy may use your PHI to notify you of benefits and services the pharmacy provides. Fundraising: If the pharmacy participates in a fundraising activeness, the pharmacy may use demographic PHI to send you a fundraising packet, or the chemist's may disclose demographic PHI about y'all to its business associate or an institutionally related foundation to send yous a fundraising packet. No further disclosure volition be allowed by the business organisation assembly or an institutionally related foundation without your written dominance. FOR ALL OTHER USES AND DISCLOSURES The pharmacy will obtain a written potency from you for all other uses and disclosures of PHI, and the pharmacy will only utilise or disclose pursuant to such an authorization. In add-on, you may revoke such an authorisation in writing at whatsoever time. To revoke a previously authorized use or disclosure, please contact the pharmacy. YOUR Health INFORMATION RIGHTS The post-obit are a listing of your rights in respect to your PHI. Request 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; notwithstanding, the pharmacy is non required to accommodate a request. If you wish to request boosted restrictions, delight obtain the form, Request for Restriction of Uses & Disclosures, from the chemist's shop and return the completed form to the chemist's shop. The right to take your PHI communicated to you by alternate ways or locations: You have the correct to request that the pharmacy communicate confidentially with y'all using an accost or telephone number other than your residence. However, state and federal laws require the chemist's to have an accurate accost and home phone number in case of emergencies. The pharmacy will consider all reasonable requests. If you wish to request a change in your communicating address and/or telephone number, please obtain a form, Request for Alternative Arrangements for Confidential Advice, from the pharmacy and return the completed course to the pharmacy. The right to inspect and/or obtain a copy of your PHI: You have the right to asking access and/or obtain a re-create of your PHI that is independent in the pharmacy for the duration the pharmacy maintains PHI most y'all. If you lot wish to audit or obtain a re-create of your PHI, please obtain a form, Request for Access to Records, from the chemist's and return the completed grade to the chemist's shop. At that place may exist a reasonable toll-based charge for photocopying documents. You will be notified in advance of incurring such charges, if whatsoever. The right to improve your PHI: You accept the correct to request an amendment of the PHI the pharmacy maintains well-nigh you, if yous feel that the PHI the chemist's shop has maintained virtually you is incorrect or otherwise incomplete. Nether certain circumstances we may deny your request. If we practise deny the asking, you will have the correct to take the deprival reviewed past someone we designate who was not involve in the initial review. You may ask to Secretarial assistant, U.s. Department of Health and Human Services, or their appropriate designee, to review such a deprival. If you wish to amend your PHI files, delight obtain a form, Request for Amendment of PHI, from the pharmacy and return the completed form to the pharmacy. The right to receive and bookkeeping of disclosures of your PHI: You take the right to receive an accounting of sure disclosures of your PHI made past the chemist's shop. If you lot wish to receive an accounting of disclosures of your PHI, please obtain class, Request for Accounting of Disclosures, from the chemist's shop and return the completed form to the chemist's. You should be aware; however, that such an accounting excludes uses and disclosures made for handling, payment and wellness care operations purposes. The correct to receive additional copies of the Pharmacy?south Notice of Privacy Practices: y'all accept the right to receive additional paper copies of this Detect, upon request, even if you initially agreed to receive the Notice electronically. If you with to receive a paper copy of this notice, delight ask a chemist's workforce member and they will provide you with a copy. REVISIONS TO THE NOTICE OF PRIVACY PRACTICES The chemist's reserves the right to change and/or revise this Observe and make the new revised version applicative to all PHI received prior to its effective date. The revised Detect volition be available, upon request, to all individuals. The chemist's volition likewise post the revised version of the Notice in the pharmacy. COMPLAINTS If y'all believe your privacy rights have been violated, you may file a complaint with the chemist's 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 lot wish to file a complaint with the Secretarial assistant, please write to: The U.S. Department of Wellness and Human Services Office of the Inspector Full general 200 Independence Ave, S.West. Washington, D.C. 20201 The pharmacy will not take any adverse action against you as a result of your filing of a complaint. CONTACT Information If you have any questions on the pharmacy's privacy practices or for clarification on annihilation independent within the Notice, delight contact:
Medical Arts Chemist's
2102 Pecos Street
San Angelo, TX 76901
Phone: (325) 949-4636
0 Response to "Medical Arts Pharmacy 2102 Pecos St San Angelo Tx 76901"
Post a Comment