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HIPAA Notice of Privacy Practice
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. Pharmacare is providing this Notice of Privacy Practices because the privacy of your health information is very important to you and to us, and in compliance with federal regulations. By ?your health information? we mean the information that we maintain that specifically identifies you and your health status. Summary This Notice describes how we use your health information within Pharmacare and disclose it outside Pharmacare, and why. The Notice covers: ? Uses or disclosures which do not require your written authorization. >> Treatment, payment, and health care operations. >> Uses or disclosures of your health information to which you may object. >> Uses or disclosures required or permitted. ? Uses or disclosures which require your written authorization. ? Your rights as a patient regarding privacy of your health information. ? Our duties in protecting your health information. ? Complaints, contact person, effective date, and acknowledgement. Uses or disclosures which do not require your written authorization Treatment, Payment, and Health Care Operations We use or disclose your health information to carry out your treatment; to obtain payment for your treatment; and to conduct health care operations. For example: >> For treatment, we use your health information to fill your prescriptions and provide infusion servie. We disclose your health information for treatment purposes to physicians and other health care professionals outside our company who are involved in your care. Uses or disclosures which do not require your written authorization (continued) Treatment, Payment, and Health Care Operations (continued) >> For payment, we use your health information to prepare documentation required by your insurance company or HMO or by Medicare or Medicaid. We disclose that part of your health information that these organizations require to pay us. >> For health care operations, we use or disclose your health information, for example, to improve the quality of our services, to plan better ways of serving patients, and to evaluate staff performance. Uses or Disclosures of Your Health Information to Which You May Object We may use or disclose your health information for the following purposes, unless you ask us not to. ? Facility directories. [FOR INFUSION COMPANIES THAT ARE DEPARTMENTS OF HOSPITALS] We maintain a patient directory including, for each patient, name, location in our facility, health condition in general terms, and religious affiliation. We may disclose this information to people who ask for you by name. We will make known your religious affiliation only to clergy. ? Informing family and friends. We may disclose your health information to family, friends, or others identified by you who are involved in your care. ? Assistance in disaster relief efforts. ? For fundraising activities. We may contact you or your family for fundraising purposes. If you do not wish to be contacted for this purpose, please contact Chief Operations Officer and indicate that you do not wish to receive fundraising communication from us. ? Confirming our visits to your home or other appointments. ? Informing you about treatment alternatives or other health-related benefits and services that may be of interest to you. If you object to our use of your health information for any of these purposes please contact: Chief Operations Officer Uses or Disclosures Required or Permitted Where we are required or permitted to do so, we may use or disclose your health information in the following circumstances without your written authorization. ? Federal government investigation, when required by the Secretary of Health and Human Services to investigate or determine our compliance with federal regulation. ? Federal, state or local law requirements. ? Public health activities, for example to report communicable diseases or death; or for matters involving the Food and Drug Administration. ? Reporting of abuse, neglect or domestic violence. ? Health oversight activities by a health oversight agency. (A health oversight agency is an organization authorized by the government to oversee eligibility and compliance and to enforce civil rights laws.) ? Judicial or administrative proceedings, for example responding to a court order or subpoena. ? Law enforcement purposes, for example to report certain types of wounds or other physical injuries or to identify or locate a suspect, fugitive, material witness, or missing person. ? Use by coroners, medical examiners, or funeral directors. ? Facilitating organ, eye, or tissue donation. ? Research, provided that very strict controls are enforced. ? Averting a serious threat to your health or safety or that of the public. ? Specialized government functions such as military or veterans? affairs; national security, and intelligence activities. ? Workers' compensation. Uses or disclosures which require your written authorization Your written authorization, which you may revoke (in writing), is required if we use or disclose your health information for any purpose other than those stated above. In particular your authorization is required if: ? We use or disclose your psychotherapy notes other than for treatment or health care operations as specified in federal regulations. [OMIT IF NOT RELEVANT] ? We use or disclose your health information for marketing of goods or services. Your Rights As A Patient to Privacy Of Your Health Information ? Right to Request Restrictions You have the right to request restrictions on our uses and disclosures of your health information, however we may refuse to accept the restriction. ? Right to Request Confidential Communications You have the right to request that we communicate with you confidentially, for example to speak with you only in private; to send mail to an address you designate; or to telephone you at a number you designate. [OPTIONAL: Your request must be in writing.] We will make every attempt to honor your request. ? Right to Request Access to Your Health Information You have the right to request access to your health information in order to inspect or copy it. Your request must be in writing. We may deny your request and, if so, you may request a review of the denial. However, we will make every attempt to honor your request. ? Right to Request an Amendment of Your Health Information You have the right to request an amendment to your health information. Your request must be in writing and must provide a reason for the amendment. We may deny your request and, if so, you may submit a statement of disagreement. However, we will make every attempt to honor your request. ? Right to Request an Accounting of Disclosures of Your Health Information You have the right to request an accounting of our disclosures of your health information for purposes other than treatment, payment, and health care operations. We will make every attempt to honor your request. We are not required to provide an accounting for disclosures before April 14, 2003 or for more than 6 years prior to the date of your request. ? Right to Obtain a Paper Copy of this Notice If you received this Notice electronically, you have the right to receive a paper copy. To exercise any of these rights please write or telephone Chief Operations Officer. Our Duties in Protecting Your Health Information ? We are required by law to maintain the privacy of your health information. ? We must inform patients or their legal representatives of our legal duties and privacy practices with respect to health information. This Notice discharges that duty. ? We must abide by the terms of the Notice currently in effect. ? We reserve the right to change the terms of this Notice and to make the new Notice provisions effective for all health information that we maintain. At any time, you may obtain a copy of the current notice from Chief Operations Officer. Complaints, Contact Person, Effective Date, and Acknowledgement ? You may complain to us and to the Secretary of Health and Human Services if you believe your privacy rights have been violated. ? You will not be retaliated against for filing a complaint. ? You may file your complaint with our infusion company by writing to Chief Operations Officer. ? You may file a complaint with the Secretary of Health and Human Services by writing to: Secretary of Health and Human Services U.S. Department of Health and Human Services 200 Independence Avenue, S.W. Washington, D.C. 20201 (source: www.hhs.gov) ? For further information you may write or call Chief Operations Officer. ? This notice is effective April 14, 2003. --------------------------------------------------------------------------------------------------------------------- Acknowledgment of Receipt of Notice Patient name: ________________________________ Medical Record Number ____________ I have received a copy of Pharmacare?s Notice of Privacy Practices. Signature: ______________________________________________ Date ____________ If personal representative: Name: ________________________________________________ Relationship to Patient: ______________________________________________________ --------------------------------------------------------------------------------------------------------------------- Reason signature not obtained: [ ] Patient too sick to sign at this time. [ ] Patient would not sign. [ ] Other: ____________________________________________________________ Name of Pharmacare employee attempting unsuccessfully to obtain signature: ______________________________________________________________________________ Date: _____________________________________ --------------------------------------------------------------------------------------------------------------------- Notes: (1) Except in an emergency treatment situation the infusion company must make a good faith effort to obtain the signature of the patient or personal representative acknowledging receipt of the Notice. (2) If the signature cannot be obtained, the company must document its efforts to obtain the signature and the reason why the signature was not obtained.

About Us

Welcome to Aiea Medical Pharmacy. As your local Good Neighbor Pharmacy, we offer quality products at affordable prices, while providing the personalized attention and customer service you expect from a local business. As your neighbors, we live, work and play in the same community as you and your family. We’re the local business owners you see in the neighborhood, at the school play, and volunteering at the local charity. We believe it is our responsibility to take care of our community and our neighbors, and it’s one we take very seriously. We thrive on the opportunity to serve you and your family to the best of our abilities because your business and your health are very important to us. Get to know your neighbor – we’re here to help.

    HIPAA Notice of Privacy Practice
    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. Pharmacare is providing this Notice of Privacy Practices because the privacy of your health information is very important to you and to us, and in compliance with federal regulations. By ?your health information? we mean the information that we maintain that specifically identifies you and your health status. Summary This Notice describes how we use your health information within Pharmacare and disclose it outside Pharmacare, and why. The Notice covers: ? Uses or disclosures which do not require your written authorization. >> Treatment, payment, and health care operations. >> Uses or disclosures of your health information to which you may object. >> Uses or disclosures required or permitted. ? Uses or disclosures which require your written authorization. ? Your rights as a patient regarding privacy of your health information. ? Our duties in protecting your health information. ? Complaints, contact person, effective date, and acknowledgement. Uses or disclosures which do not require your written authorization Treatment, Payment, and Health Care Operations We use or disclose your health information to carry out your treatment; to obtain payment for your treatment; and to conduct health care operations. For example: >> For treatment, we use your health information to fill your prescriptions and provide infusion servie. We disclose your health information for treatment purposes to physicians and other health care professionals outside our company who are involved in your care. Uses or disclosures which do not require your written authorization (continued) Treatment, Payment, and Health Care Operations (continued) >> For payment, we use your health information to prepare documentation required by your insurance company or HMO or by Medicare or Medicaid. We disclose that part of your health information that these organizations require to pay us. >> For health care operations, we use or disclose your health information, for example, to improve the quality of our services, to plan better ways of serving patients, and to evaluate staff performance. Uses or Disclosures of Your Health Information to Which You May Object We may use or disclose your health information for the following purposes, unless you ask us not to. ? Facility directories. [FOR INFUSION COMPANIES THAT ARE DEPARTMENTS OF HOSPITALS] We maintain a patient directory including, for each patient, name, location in our facility, health condition in general terms, and religious affiliation. We may disclose this information to people who ask for you by name. We will make known your religious affiliation only to clergy. ? Informing family and friends. We may disclose your health information to family, friends, or others identified by you who are involved in your care. ? Assistance in disaster relief efforts. ? For fundraising activities. We may contact you or your family for fundraising purposes. If you do not wish to be contacted for this purpose, please contact Chief Operations Officer and indicate that you do not wish to receive fundraising communication from us. ? Confirming our visits to your home or other appointments. ? Informing you about treatment alternatives or other health-related benefits and services that may be of interest to you. If you object to our use of your health information for any of these purposes please contact: Chief Operations Officer Uses or Disclosures Required or Permitted Where we are required or permitted to do so, we may use or disclose your health information in the following circumstances without your written authorization. ? Federal government investigation, when required by the Secretary of Health and Human Services to investigate or determine our compliance with federal regulation. ? Federal, state or local law requirements. ? Public health activities, for example to report communicable diseases or death; or for matters involving the Food and Drug Administration. ? Reporting of abuse, neglect or domestic violence. ? Health oversight activities by a health oversight agency. (A health oversight agency is an organization authorized by the government to oversee eligibility and compliance and to enforce civil rights laws.) ? Judicial or administrative proceedings, for example responding to a court order or subpoena. ? Law enforcement purposes, for example to report certain types of wounds or other physical injuries or to identify or locate a suspect, fugitive, material witness, or missing person. ? Use by coroners, medical examiners, or funeral directors. ? Facilitating organ, eye, or tissue donation. ? Research, provided that very strict controls are enforced. ? Averting a serious threat to your health or safety or that of the public. ? Specialized government functions such as military or veterans? affairs; national security, and intelligence activities. ? Workers' compensation. Uses or disclosures which require your written authorization Your written authorization, which you may revoke (in writing), is required if we use or disclose your health information for any purpose other than those stated above. In particular your authorization is required if: ? We use or disclose your psychotherapy notes other than for treatment or health care operations as specified in federal regulations. [OMIT IF NOT RELEVANT] ? We use or disclose your health information for marketing of goods or services. Your Rights As A Patient to Privacy Of Your Health Information ? Right to Request Restrictions You have the right to request restrictions on our uses and disclosures of your health information, however we may refuse to accept the restriction. ? Right to Request Confidential Communications You have the right to request that we communicate with you confidentially, for example to speak with you only in private; to send mail to an address you designate; or to telephone you at a number you designate. [OPTIONAL: Your request must be in writing.] We will make every attempt to honor your request. ? Right to Request Access to Your Health Information You have the right to request access to your health information in order to inspect or copy it. Your request must be in writing. We may deny your request and, if so, you may request a review of the denial. However, we will make every attempt to honor your request. ? Right to Request an Amendment of Your Health Information You have the right to request an amendment to your health information. Your request must be in writing and must provide a reason for the amendment. We may deny your request and, if so, you may submit a statement of disagreement. However, we will make every attempt to honor your request. ? Right to Request an Accounting of Disclosures of Your Health Information You have the right to request an accounting of our disclosures of your health information for purposes other than treatment, payment, and health care operations. We will make every attempt to honor your request. We are not required to provide an accounting for disclosures before April 14, 2003 or for more than 6 years prior to the date of your request. ? Right to Obtain a Paper Copy of this Notice If you received this Notice electronically, you have the right to receive a paper copy. To exercise any of these rights please write or telephone Chief Operations Officer. Our Duties in Protecting Your Health Information ? We are required by law to maintain the privacy of your health information. ? We must inform patients or their legal representatives of our legal duties and privacy practices with respect to health information. This Notice discharges that duty. ? We must abide by the terms of the Notice currently in effect. ? We reserve the right to change the terms of this Notice and to make the new Notice provisions effective for all health information that we maintain. At any time, you may obtain a copy of the current notice from Chief Operations Officer. Complaints, Contact Person, Effective Date, and Acknowledgement ? You may complain to us and to the Secretary of Health and Human Services if you believe your privacy rights have been violated. ? You will not be retaliated against for filing a complaint. ? You may file your complaint with our infusion company by writing to Chief Operations Officer. ? You may file a complaint with the Secretary of Health and Human Services by writing to: Secretary of Health and Human Services U.S. Department of Health and Human Services 200 Independence Avenue, S.W. Washington, D.C. 20201 (source: www.hhs.gov) ? For further information you may write or call Chief Operations Officer. ? This notice is effective April 14, 2003. --------------------------------------------------------------------------------------------------------------------- Acknowledgment of Receipt of Notice Patient name: ________________________________ Medical Record Number ____________ I have received a copy of Pharmacare?s Notice of Privacy Practices. Signature: ______________________________________________ Date ____________ If personal representative: Name: ________________________________________________ Relationship to Patient: ______________________________________________________ --------------------------------------------------------------------------------------------------------------------- Reason signature not obtained: [ ] Patient too sick to sign at this time. [ ] Patient would not sign. [ ] Other: ____________________________________________________________ Name of Pharmacare employee attempting unsuccessfully to obtain signature: ______________________________________________________________________________ Date: _____________________________________ --------------------------------------------------------------------------------------------------------------------- Notes: (1) Except in an emergency treatment situation the infusion company must make a good faith effort to obtain the signature of the patient or personal representative acknowledging receipt of the Notice. (2) If the signature cannot be obtained, the company must document its efforts to obtain the signature and the reason why the signature was not obtained.
       
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    HIPAA Notice of Privacy Practice

    JOSEPH PHARMACY 216 WEST 72ND STREET NEW YORK, NY 10023 TEL (212) 875-1718 FAX (212) 875-0921 E-Mail: JOSEPHPHARMACY@YAHOO.COM OR WWW.JOSEPHPHARMACY.COM NOTICE OF PRIVACY PRACTICES 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. JOSEPH PHARMACY is required by law to maintain the privacy of Protected Health Information ('PHI') and to provide individuals with notice of our legal duties and privacy practices with respect to PHI. PHI is information that may identify you and that relates to your past, present or future physical or mental health or condition and related health care services. This Notice of Privacy Practices ('Notice') describes how we may use and disclose PHI to carry out treatment, payment or health care operations and for other specified purposes that are permitted or required by law. The Notice also describes your rights and with respect to PHI about you. JOSEPH PHARMACY is required to follow the terms of this Notice. We will not use or disclose PHI about you without your written authorization, expect as described in this Notice. We reserve the right to change our practices and this Notice and to make the new Notice effective for all PHI we maintain. Upon request, we will provide any revised Notice to you. Your Health Information Rights You have the following rights with respect to PHI about you: *Obtain a paper copy of the Notice upon request. You may request a copy of the Notice at any time. Even if you have agreed to receive the Notice electronically, you are still entitled to a paper copy. To obtain a paper copy, contact the Privacy Officer at (212) 875-1718 or e-mail request to JOSEPHPHARMACY@YAHOO.COM. *Request a restriction on certain uses and disclosures of PHI. You have the right to request additional restrictions on our use and disclosure of PHI about you by sending a written request to the Privacy Officer or e-mailing the request to JOSEPHPHARMACY@YAHOO.COM. We are not required to agree to those restrictions. *Inspect and obtain a copy of PHI. You have the right to access and copy PHI about you contained in a designated record set for as long as JOSEPH PHARMACY maintains the PHI. The 'designated record set' usually will include prescription and billing records. To inspect or copy PHI about you, you must send a written request to the Privacy Officer or e-mail it to JOSEPHPHARMACY@YAHOO.COM. We may charge you a fee for the cost of copying, mailing and supplies that are necessary to fulfill your request. We may deny your request to inspect and copy in certain limited circumstances. If you are denied access to PHI about you, you may request that the denial be reviewed. *Request an amendment of PHI. If you feel that PHI we maintain about you is incomplete or incorrect, you may request that we amend it. You may request an amendment for as long as we maintain the PHI. To request an amendment, you must send a written request to the Privacy Officer or e-mail it to: JOSEPHPHARMACY@YAHOO.COM. In addition, you must include a reason that supports your request. In certain cases, we may deny your request for an amendment. If we deny your request for amendment, you have the right to file a statement of disagreement with the decision, and we give you a rebuttal to your statement. *Receive an accounting of disclosure of PHI. You have the right to receive an accounting of the disclosures we have made of PHI about you after April 14, 2003 for most purposes other than treatment, payment, or health care operations. The accounting will exclude disclosures we have made directly to you, disclosures to friends or family members involved in your care, and disclosures for notification purposes. The right to receive an accounting is subject to certain other exceptions, restrictions, and limitations. To request an accounting, you must submit a request in to the Privacy Officer or e-mail it to JOSEPHPHARMACY@YAHOO.COM. Your request must specify the time period, but may not be longer than six years. The first accounting you request within a 12 month period will be provided free of charge, but you may be charged for cost of providing additional accountings. We will notify you of the cost involved and you may choose to withdraw or modify your request at that time. *Request communications of PHI by alternative means or at alternative locations. For instance, you may request we contact you about medical matters only in writing or at a different residence or post office box. To request confidential communication of PHI about you, you must submit a request in writing to the Privacy Officer or e-mail it to JOSEPHPHARMACY@YAHOO.COM. Your request must state how or where you would like to be contacted. We will accommodate all reasonable requests. *Revoke your consent to use or disclose PHI. You may revoke consent in writing at any time. Upon receipt of the written revocation, we will stop using or disclosing PHI about you, except to the extent that that we have already taken action in reliance on the consent. We may refuse to continue to treat a customer that revokes his or her consent. Example of How We May Use and Disclose PHI The following categories describe and provide examples of different ways we use and disclose PHI about you. We will use PHI for treatment. Example: Information obtained by the pharmacist will be used to dispense prescription medications to you. We will document in your record information related to the medications dispensed to you and services provided to you. We will use PHI for payment. Example: We will contact your insurer or pharmacy benefit manager to determine whether it will pay for your prescription and the amount of your co-payment. We will bill you or third-party payer for the cost of prescription medications dispensed to you. The information on or accompanying the bill may include information that identifies you, as well as the prescriptions you are taking. We will use PHI for health care operations. Example: JOSEPH PHARMACY may use information in your health record to monitor the performance of the pharmacists providing treatment to you. This information will be used in an effort to continually improve the quality and effectiveness of the health care and service we provide. We are likely to use or disclose PHI for the following purposes: Business associates: There are some services provided by us through contracts with business associates. Examples include the analysis of prescription costs and their trends for groups and sub- groups of patient populations. When these services are contracted for, we may disclose PHI about you to our business associates so that they can perform the job we have asked them to do and bill you or your third-party payer for services rendered. To protect PHI about you, we require the business associate to appropriately safeguard the PHI. Communication with individuals involved in your care or payment for your care: Health professionals such as pharmacists, using their professional judgment, may disclose to a family member, other relative, close personal friend or any person you can identify, PHI relevant to that person's involvement in your care or payment related to your care. Personal communications: We may contact you to provide refill reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to you. Food and Drug Administration (FDA): We may disclose to the FDA, or persons under the jurisdiction of the FDA, PHI relative to adverse events with respect to drugs, foods, supplements, products and product defects, or post marketing surveillance information to enable product recalls, repairs, or replacements. Worker's compensation: We may disclose PHI about you as authorized by and as necessary to comply with laws relating to worker's compensation or similar programs established by law. Public Health: As required by law, we may disclose PHI about you to public health or legal authorities charged with preventing or controlling disease, injury or disability. Law enforcement: We may disclose PHI about you for law enforcement purposes as required by law or in response to a valid subpoena or other legal process. Health Oversight activities: We must disclose PHI about you to an oversight agency for activities authorized by law. These oversight activities include audits, investigations, and inspections, as necessary for our licensure and for the government to monitor the health care system, government programs, and compliance with civil rights laws. Judicial and administrative proceedings: If you are involved in a lawsuit or dispute, we may disclose PHI about you in response to a court or administrative order. We may also disclose PHI about you in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the requested PHI. We are permitted to use and disclose PHI about you for the following purposes: Research: We may disclose PHI about you to researchers when an institutional review board that has reviewed the research proposal and established protocols to ensure the privacy of your information has approved their research. Coroners, medical examiners, and funeral directors: We may release PHI about you to a coroner or medical examiner. This may be necessary, for example, to identify a deceased person or determine the cause of death. We may also disclose PHI to funeral directors consistent with applicable law to carry out their duties. Organ or tissue procurement organizations: Consistent with applicable law, we may disclose PHI about you to organ procurement organizations or other entities engaged in the procurement, banking, or transplantation of organs for the purpose of tissue donation and transplant. Fundraising: We may contact you as part of a fundraising effort. Notification: We may use or disclose PHI about you to notify or assist in notifying a family member, personal representative, or another person responsible for your care, your location, and your general condition. Correctional institution: If you are or become an inmate of a correctional institution, we may disclose PHI to the institution or its agents when necessary for your health or the health and safety of others. To avert a serious threat to health and safety: We may use and disclose PHI about you when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person. Military or veterans: If you are a member of the armed forces, we may release PHI about you to authorized federal officials for intelligence, counterintelligence, and other national security activities authorized by law. National Security and intelligence activities: We may release PHI about you to authorized federal officials for intelligence, counterintelligence, and other national security activities authorized by law. Protective services for the President and others: We may disclose PHI about you to authorized federal officials so they may provide protection to the President, other authorized persons or foreign heads of state or conduct special investigations. Victims of abuse, neglect, or domestic violent: We may disclose PHI about you to a government authority, such as a social service, or protective service agency. If we reasonably believe you are a victim of abuse, neglect, or domestic violence. We will only disclose this type of information to the extent required by law, if you agree to the disclosure of if the disclosure is allowed by law and we believe it is necessary to prevent serious harm to you or someone else or the law enforcement or public official that is to receive the report represents that it is necessary and will not be used against you. Other Uses and Disclosures of PHI JOSEPH PHARMACY will obtain your written authorization before using or disclosing the PHI about you for purposes other than those provided above or as otherwise permitted or required by law. You may revoke an authorization in writing at any time. Upon receipt of the written revocation, we will stop using or disclosing PHI about you, except to the extent that we have already taken action in reliance on the authorization. For More Information or to Report a Problem If you have questions or would like additional information about Joseph Pharmacy's privacy practices, you may contact our privacy officer. If you believe your privacy right have been violated, you can file a complaint with our HIPAA privacy officer or with the Secretary of Health and Human Services. There will be no retaliation for filing a complaint. Effective Date

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    99-128 Aiea Heights Drive Suite 103
    Aiea, HI, 96701
    (808) 840-5680

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    Pharmacy Hours

    Mon-Fri: 9:00am - 5:00pm;Sat: Closed;Sun: Closed;

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    Mon-Fri: 9:00am - 5:00pm;Sat: Closed;Sun: Closed;
     
     
     
    • HIPAA
      Notice of Privacy
    • About HIPAA’s Notice of Privacy and how it protects you.

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    MEDILANE DRUG CORP NOTICE OF PRIVACY PRACTICES 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. LEGAL DUTY We are required by federal and state law to maintain the privacy of your health information. We are also required to give you this notice about our privacy practices, our legal duties and your rights concerning your health information. We must follow the privacy practices that are described in this Notice while it is in effect. This notice takes effect April 14, 2003 and will remain in effect until we replace it. You may request a copy of our Privacy Practice Notice at any time. For more information or additional copies of this Notice, please contact us at the telephone number listed in the Company Information section at the top of this Notice. If and when permitted by applicable law, we have the right to change our privacy practices; if we do so, we will notify you in writing of these changes. USE AND DISCLOSURES OF HEALTH INFORMATION We are permitted by law, to use and disclose health information about you for reasons concerning treatment, payment, and healthcare operations. Examples: Treatment: We may disclose your health information to a physician or healthcare provider that is providing treatment or other healthcare services to you. Payment: We may use and disclose your health information to obtain payment for services that we provide to you. Operations: We may use and disclose your health information in connection with our healthcare operations, which include administration and planning and other tasks that help us improve that quality. Family and Friends: We may disclose your health information to a family member, relative or a friend that has been identified by you while you are present. If you are not present, professional judgment will be utilized to determine whether a disclosure is required or in your best interest. We will only disclose information that is believed to be relevant to the person's involvement with your healthcare of payment related to your health care. We may also disclose your health information in order to notify such persons of your location, general condition or death. As required by law: We must disclose your health information when required to do so by law. Victims of Abuse or Neglect: We may disclose your health information to authorities if reasonable belief is that you are a possible victim of abuse, neglect or domestic violence. We may disclose information to the extent necessary to avert additional serious threat to your health or safety or the health or safety of others. Public Health Activities: We may disclose your health information to public health authorities for the purpose of preventing or controlling disease or preventing injury; to report information to a health oversight agency that is responsible for ensuring compliance with governmental rules and regulations, such as Medicare and Medicaid. National Security: We may disclose to military authorities the health information of Armed Forces personnel under certain circumstances. We may disclose to authorized federal officials health information required for lawful intelligence, counter intelligence, and other national security activities. Appointment Reminders: We may contact you to provide you with appointment reminders, such as voice messages; including essential information such as time, location, and the name of the company/provider. Workers' Compensation: We may use or disclose your health information to the extent necessary to comply with state laws relating to workers' compensation. Disclosures Requiring your Authorization: For any reasons other than those listed in this notice, we may only use or disclose your health information with your written authorization. You authorization must also be obtained prior to using your health information for any marketing activity. YOUR RIGHTS TO YOUR PERSONAL HEALTH INFORMATION Access to Record: You may have access to your health information, with limited exceptions. Request must be made in writing, utilizing our Records Access Request Form. We may charge a reasonable fee to compensate for time and materials. Revocation of your Authorization: You make revoke your authorization to disclose your health information at any time. Request must be made in writing, using our Authorization Revocation form. Restriction of Information: You may request that we place restrictions on our use or disclosure of your health information. You must make you request in writing by sending us a letter that specifies the type of information to be restricted and to whom the information is to be restricted from. Requests should be sent directly to the address listed in the heading of this Notice. We will consider all requests: however are not required to agree to the request. We will respond to all such requests in writing. Disclosure Accounting: You may request a list of instances in which we (or our business associates) disclosed your health information for purposes, other than treatment, payment, healthcare operations and certain other activities, for the last 6 years, but not before April 14, 2003. You must make your request in writing by sending us a letter that specifies the type of information and the time period involved. Requests should be sent directly to the address listed in the heading of this Notice. If you request this information more than once in a 12-month period, we may charge you a reasonable fee to compensate for our time and materials. Alternative Communication: You may request that we communicate with you about your health information by alternative means or to an alternative location. You must make your request in writing by sending a letter that specifies the alternative means of location and provide satisfactory explanation how payments will be handled under the alternative means or location you have requested. Requests should be sent directly to the address listed in the header of this Notice. Amendment: You have the right to request that we amend your health information. You must make your request in writing by sending a letter that explains why the information should be amended. Requests should be sent directly to the address listed in the header of this Notice. We will comply to your request unless we believe that the information to be amended is accurate and complete. Right to Receive Paper Copy of this Notice: Upon request, you may obtain a paper copy of this notice. QUESTIONS OR COMPLAINTS If you are concerned that we may have violated your privacy rights, or if you disagree with a decision we have made about a request for access to your health information, a request you have made to amend or restrict the use or disclosure of your health information or a request you have made for us to communication with your by alternative means or locations, you may complain to us using the contact information listed in the header of this Notice. You may also submit a written complaint to the U.S. Department of Health and Human Services. We will provide you with the address to the U.S. Department of Health and Human Services upon request. If you have any questions, concerns, or complaints about this Notice, please contact us.