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HIPAA Notice of Privacy Practice
HIPAA PRIVACY NOTICE INTRODUCTION Healthmax Pharmacy understands that your medical information is private and confidential. Further, we are required by law to maintain the privacy of ?protected health information.? ?Protected Health Information? includes and individually identifiable information that we obtain from you or others that relates to your past, present or future physical or mental health, the health care you have received, or payment for your health care. As required by law, this notice provides you with information about your rights and our legal duties and privacy practices with respect to the privacy of protected health information. This notice also discusses the uses and disclosures we will make of your protected health information. We must comply with the provisions of this notice as currently in effect, although we reserve the right to change the terms of this notice from time to time and to make the revised notice effective for all protected health information we maintain. You can always request a written copy of our most current privacy notice from the Pharmacy?s Privacy Officer. PERMITTED USES AND DISCLOSURES We can use or disclose your protected health information for purposes of treatment, payment, and health care operations. For each of these categories of uses and disclosures, we have provided a description and an example below. However, not every particular use or disclosure in every category will be listed. * Treatment means the provision, coordination or management of your health care, including consultations between health care providers regarding your care and referrals for health care from one health care provider to another. For example, a pharmacist may need to know information about other health conditions you may have or other medications your are taking in order to reduce the likelihood of side effects from medications you are prescribed. * Payment means the activities we undertake to obtain reimbursement for the health care provided to you, including billing, collections, claims management, determinations of eligibility and coverage and utilization review activities. For example, prior to providing health care services, we may need to provide information to your third party payor about the medication prescribed to you to determine whether the proposed medication will be covered. When we subsequently bill the third party payor for the services rendered to you, we can provide the third party with information regarding your care if necessary to obtain payment. Federal or State Law may require us to obtain a written release from you prior to disclosing certain specially protected information for payment purposes, and we will ask you to sign a release when necessary under applicable law. * Health care operations means the support functions of our pharmacy related to treatment and payment, such as quality assurance activities, case management, receiving and responding to patient comments and complaints, compliance programs, audits, business planning, development, management and administrative activities. For example, we may use your protected health information to evaluate the performance of our staff when caring for you. We may also combine health information about many patients to decide what addition services we should offer, what services are not needed, and whether certain new treatments or drugs are effective. In addition, we may remove information that identifies you from you patient information so that others can use the de-identified information to study health care and health care delivery without learning who you are. OTHER USES AND DISCLOSURES OF PROTECTED HEALTH INFORMATION In addition to using and disclosing your information for treatment, payment and health care operations, we may use your protected health information in the following ways: * We may contact you to provide refill or appointment reminders for treatment or medical care. * We may contact you to tell you about or recommend possible treatment alternatives or other health related benefits and services that may be of interest to you. * We may disclose to your family or friends or any other individual identified by you protected health information directly relevant to such person?s involvement with your care or payment for your care. We may use or disclose your protected health information to notify or assist in the notification of, a family member, a personal representative, or another person responsible for your care of your location, general condition, or death. If you are present or otherwise available, we will give you an opportunity to object. If you are not present or available, we will determine whether a disclosure to your family or friends is in your best interest, taking into account the circumstances and based upon our professional judgment. * When permitted by law, we may coordinate our uses and disclosures of protected health information with public or private entities authorized by law or by charter to assist in disaster relief efforts. * We will allow your family and friends to act on your behalf to pick up filled prescriptions, medical supplies, and similar forms of protected health information, when we determine, in our professional judgment, that it is in your best interest to make such disclosures. * We may contact you as part of our efforts to market our Pharmacy?s services as permitted by applicable law. * Subject to applicable law, we may make incidental uses and disclosures of protected health information. Incidental uses and disclosures are by-products of otherwise permitted uses or disclosures which are limited in nature and cannot be reasonably prevented. * We may use or disclose your protected health information for research purposes, subject to the requirements of applicable law. For example, a research project may involve comparisons of health and recovery of all patients who received a particular medication. All research projects are subject to a special approval process which balances research needs with a patient?s need for privacy. When required, we will obtain a written authorization from you prior to using your health information for research. SPECIAL SITUATIONS Subject to the requirements of applicable law, we will make the following uses and disclosures of your protected health information: * Organ and Tissue Donation. If you are an organ donor, we may release health information to organizations that handle organ procurement or organ, eye or tissue transplantation or to an organ donation bank, as necessary to facilitate organ or tissue donation and transplantation. * Military and Veterans. If you are a member of the armed forces, we may release health information about you as required by military command authorities. We may also release health information about foreign military personnel to the appropriate foreign military authority. * Worker?s Compensation. We may release health information about you for programs that provide benefits for work-related injuries or illnesses. * Public health Activities. We may disclose health information about you for public health activities, including disclosures: 1. To prevent or control disease, injury or disability; 2. To report births and deaths; 3. To report child abuse or neglect; 4. To persons subject to the jurisdiction of the Food and Drug Administration (FDA) for activities related to the quality, safety, or effectiveness of FDA-regulated products or services and to report reactions to medication or problems with products; 5. To notify a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition; 6. To notify the appropriate government authority if we believe that an adult patient has been a victim of abuse, neglect, or domestic violence. We will only make this disclosure if the patient agrees or when required or authorized by law. We will use or disclose protected health information about you when required to do so by applicable law. * Health Oversight Activities. We may disclose health information to Federal or State agencies that oversee our activities. These activities are necessary for the government to monitor the health care system, government benefit programs, and compliance with civil rights laws or regulatory program standards. * Lawsuits and Disputes. If you are involved in lawsuit or dispute, we may disclose health information about you in response to a court or administrative order. We may also disclose information about you in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if the Pharmacy is given assurances that efforts have been made by the person making the request to tell you about the request or to obtain an order protecting the information requested. * Law Enforcement. We may release health information if asked to do so by a law enforcement official: 1. In response to a court order, subpoena, warrant, summons or similar process; 2. To identify or locate a suspect, fugitive, material witness, or missing person; 3. About the victim of a crime under certain limited circumstances; 4. About a death we believe may be the result of criminal conduct; 5. About criminal conduct on our premises; and 6. In emergency circumstances, to report a crime, the location of the crime or the victims, or the identity, description or location of the person who committed the crime. * Coroners, Medical Examiners, and Funeral Directors. We may release health information to a coroner or medical examiner. Such disclosures may be necessary, for example, to identify a deceased person or determine the cause of death. We may also release health information about patient to funeral directors as necessary to carry out their duties. * National Security and Intelligence Activities. We may release health information about you to authorized Federal officials for intelligence, counterintelligence, or other national security activities authorized by law. * Protective Services for the President and Others. We may disclose health information about you to authorized Federal officials so they may provide protection to the President or other authorized persons or foreign heads of state or may conduct special investigations. * Inmates. If you are an inmate of a correctional institution or under the custody of a law enforcement official, we may release health information about you to the correctional institution or law enforcement official. This release would be necessary (1) for the institution to provide you with health care; (2) to protect your health and safety or the health and safety of others; or (3) for safety and security of the correctional institution. * Serious Threats. As permitted by applicable law and standards of ethical conduct, we may use and disclose protected health information if we, in good faith, believe that the use or disclosure is necessary to prevent or lessen a serious and imminent threat to the health and safety or a person or the public or is necessary for law. Note: HIV related information, genetic information, alcohol and/or substance abuse records, mental health records and other specially protected health information may enjoy certain special confidentiality protections under applicable State and Federal law. Any disclosures of these types of records will be subject to these special protections. OTHER USES OF YOUR INFORMATION Other uses and disclosures of protected health information not covered by this notice or the laws that apply to us will be made only with your permission in a written authorization. You have the right to revoke that authorization at any time, provided that he revocation is in writing, except to the extent that we already have taken action in reliance on your authorization. YOUR RIGHTS 1. You have the right to request restrictions on our uses and disclosures of protected health information for treatment, payment and health care operations. However, we are not required to agree to your request. To request a restriction, you must make you request in writing to the Pharmacy?s Privacy Officer. 2. You have the right to reasonably request to receive confidential communications of protected health information by alternative means or at alternative locations. To make such a request, you must submit your request in writing to the Pharmacy?s Privacy Officer. 3. You have the right to inspect and copy the protected health information contained in your medical and billing records and in any other Pharmacy records used by us to make decisions about, except: * For protected health information involving laboratory tests when your access is restricted by law; * If you are a prison inmate, obtaining a copy of your information may be restricted if it would jeopardize your health, safety, security, custody, or rehabilitation or that of other inmates, or the safety of any officer, employee, or other person at the correctional institution or person responsible for transporting you; * If we obtained or created protected health information as part of a research study, your access to the health information may be restricted for as long as the research is in progress, provided that you agreed to the temporary denial of access when consenting to participate in the research; * For protected health information contained in the records kept by a Federal agency or contractor where your access is restricted by law; and * For protected health information obtained from someone other than us or under a promise of confidentiality when the access requested would be reasonably likely to reveal the source of the information. In order to inspect and copy your health information, you must submit your request in writing to the Pharmacy?s Privacy Officer. If you request a copy of your health information, we may charge you a fee for the costs of copying, mailing your records, as well as other costs associated with your request. We may also deny a request for access to protected health information if: * A licensed health care professional has determined, in the exercise of professional judgment, that the access requested is reasonably likely to endanger your life or physical safety or that of another person; * The protected health information makes reference to another person (unless such other person is a health care provider) and a licensed professional has determined that the access requested is reasonably likely to cause substantial harm to such other person; or * The request for access is made by the individual?s personal representative and a licensed health care professional has determined, in the exercise of professional judgment, that the provision of access to such personal representative is reasonably likely to cause substantial harm to you or another person. If we deny a request for access for any of the three reasons above, then you have the right to have our denial reviewed in accordance with the requirements of applicable law. 4. You have the right to request an amendment to your protected health information, but we may deny your request for amendment, if we determine that the protected health information or record that is subject of the request: * Was not created by us, unless you provide a reasonable basis to believe that the originator of protected health information is no longer available to act on the requested amendment; * Is not part of your medical or billing records or other records used to make decisions about you; * Is not available for inspection as set forth above; or * Is accurate and complete. In any event, any agreed upon amendment will be included as an addition to, and not a replacement of, already existing records. In order to request an amendment to your health information, you must submit your request in writing to the Pharmacy?s Privacy Officer, along with a description of the reason for your request. 5. You have the right to receive an accounting of disclosures of protected health information made by us to individuals or entities other than to you for the six years prior to your request, except for disclosures: * To carry out treatment, payment and health care operations as provided above; * Incident to a use or disclosure otherwise permitted or required by applicable law; * Pursuant to a written authorization obtained from you; * To persons involved in your care or for other notification purposes as provided by law; * For national security or intelligence purposes as provided by law; * To correctional institutions or law enforcement officials as provided by law; * As part of a limited data set as provided by law; or * That occurred prior to April 14, 2003. To request an accounting of disclosures of your health information, you must submit your request in writing to the Pharmacy?s Privacy Officer. Your request must state a specific time period for the accounting. The first accounting you request within a twelve (12) month period will be free. For additional accountings, we may charge you for the costs of providing the list. We will notify you of the costs involved, and you may choose to withdraw or modify your request at that time before any costs are incurred. COMPLAINTS If you believe that your privacy rights have been violated, you should immediately contact the Pharmacy?s Privacy Officer. We will not take action against you for filing a complaint. You may also file a complaint with the Secretary of Health and Human Services. CONTACT PERSON If you have any questions or would like further information about this notice, please contact the Pharmacy?s Privacy Officer.

About Us

Welcome to Health Max 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
    HIPAA PRIVACY NOTICE INTRODUCTION Healthmax Pharmacy understands that your medical information is private and confidential. Further, we are required by law to maintain the privacy of ?protected health information.? ?Protected Health Information? includes and individually identifiable information that we obtain from you or others that relates to your past, present or future physical or mental health, the health care you have received, or payment for your health care. As required by law, this notice provides you with information about your rights and our legal duties and privacy practices with respect to the privacy of protected health information. This notice also discusses the uses and disclosures we will make of your protected health information. We must comply with the provisions of this notice as currently in effect, although we reserve the right to change the terms of this notice from time to time and to make the revised notice effective for all protected health information we maintain. You can always request a written copy of our most current privacy notice from the Pharmacy?s Privacy Officer. PERMITTED USES AND DISCLOSURES We can use or disclose your protected health information for purposes of treatment, payment, and health care operations. For each of these categories of uses and disclosures, we have provided a description and an example below. However, not every particular use or disclosure in every category will be listed. * Treatment means the provision, coordination or management of your health care, including consultations between health care providers regarding your care and referrals for health care from one health care provider to another. For example, a pharmacist may need to know information about other health conditions you may have or other medications your are taking in order to reduce the likelihood of side effects from medications you are prescribed. * Payment means the activities we undertake to obtain reimbursement for the health care provided to you, including billing, collections, claims management, determinations of eligibility and coverage and utilization review activities. For example, prior to providing health care services, we may need to provide information to your third party payor about the medication prescribed to you to determine whether the proposed medication will be covered. When we subsequently bill the third party payor for the services rendered to you, we can provide the third party with information regarding your care if necessary to obtain payment. Federal or State Law may require us to obtain a written release from you prior to disclosing certain specially protected information for payment purposes, and we will ask you to sign a release when necessary under applicable law. * Health care operations means the support functions of our pharmacy related to treatment and payment, such as quality assurance activities, case management, receiving and responding to patient comments and complaints, compliance programs, audits, business planning, development, management and administrative activities. For example, we may use your protected health information to evaluate the performance of our staff when caring for you. We may also combine health information about many patients to decide what addition services we should offer, what services are not needed, and whether certain new treatments or drugs are effective. In addition, we may remove information that identifies you from you patient information so that others can use the de-identified information to study health care and health care delivery without learning who you are. OTHER USES AND DISCLOSURES OF PROTECTED HEALTH INFORMATION In addition to using and disclosing your information for treatment, payment and health care operations, we may use your protected health information in the following ways: * We may contact you to provide refill or appointment reminders for treatment or medical care. * We may contact you to tell you about or recommend possible treatment alternatives or other health related benefits and services that may be of interest to you. * We may disclose to your family or friends or any other individual identified by you protected health information directly relevant to such person?s involvement with your care or payment for your care. We may use or disclose your protected health information to notify or assist in the notification of, a family member, a personal representative, or another person responsible for your care of your location, general condition, or death. If you are present or otherwise available, we will give you an opportunity to object. If you are not present or available, we will determine whether a disclosure to your family or friends is in your best interest, taking into account the circumstances and based upon our professional judgment. * When permitted by law, we may coordinate our uses and disclosures of protected health information with public or private entities authorized by law or by charter to assist in disaster relief efforts. * We will allow your family and friends to act on your behalf to pick up filled prescriptions, medical supplies, and similar forms of protected health information, when we determine, in our professional judgment, that it is in your best interest to make such disclosures. * We may contact you as part of our efforts to market our Pharmacy?s services as permitted by applicable law. * Subject to applicable law, we may make incidental uses and disclosures of protected health information. Incidental uses and disclosures are by-products of otherwise permitted uses or disclosures which are limited in nature and cannot be reasonably prevented. * We may use or disclose your protected health information for research purposes, subject to the requirements of applicable law. For example, a research project may involve comparisons of health and recovery of all patients who received a particular medication. All research projects are subject to a special approval process which balances research needs with a patient?s need for privacy. When required, we will obtain a written authorization from you prior to using your health information for research. SPECIAL SITUATIONS Subject to the requirements of applicable law, we will make the following uses and disclosures of your protected health information: * Organ and Tissue Donation. If you are an organ donor, we may release health information to organizations that handle organ procurement or organ, eye or tissue transplantation or to an organ donation bank, as necessary to facilitate organ or tissue donation and transplantation. * Military and Veterans. If you are a member of the armed forces, we may release health information about you as required by military command authorities. We may also release health information about foreign military personnel to the appropriate foreign military authority. * Worker?s Compensation. We may release health information about you for programs that provide benefits for work-related injuries or illnesses. * Public health Activities. We may disclose health information about you for public health activities, including disclosures: 1. To prevent or control disease, injury or disability; 2. To report births and deaths; 3. To report child abuse or neglect; 4. To persons subject to the jurisdiction of the Food and Drug Administration (FDA) for activities related to the quality, safety, or effectiveness of FDA-regulated products or services and to report reactions to medication or problems with products; 5. To notify a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition; 6. To notify the appropriate government authority if we believe that an adult patient has been a victim of abuse, neglect, or domestic violence. We will only make this disclosure if the patient agrees or when required or authorized by law. We will use or disclose protected health information about you when required to do so by applicable law. * Health Oversight Activities. We may disclose health information to Federal or State agencies that oversee our activities. These activities are necessary for the government to monitor the health care system, government benefit programs, and compliance with civil rights laws or regulatory program standards. * Lawsuits and Disputes. If you are involved in lawsuit or dispute, we may disclose health information about you in response to a court or administrative order. We may also disclose information about you in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if the Pharmacy is given assurances that efforts have been made by the person making the request to tell you about the request or to obtain an order protecting the information requested. * Law Enforcement. We may release health information if asked to do so by a law enforcement official: 1. In response to a court order, subpoena, warrant, summons or similar process; 2. To identify or locate a suspect, fugitive, material witness, or missing person; 3. About the victim of a crime under certain limited circumstances; 4. About a death we believe may be the result of criminal conduct; 5. About criminal conduct on our premises; and 6. In emergency circumstances, to report a crime, the location of the crime or the victims, or the identity, description or location of the person who committed the crime. * Coroners, Medical Examiners, and Funeral Directors. We may release health information to a coroner or medical examiner. Such disclosures may be necessary, for example, to identify a deceased person or determine the cause of death. We may also release health information about patient to funeral directors as necessary to carry out their duties. * National Security and Intelligence Activities. We may release health information about you to authorized Federal officials for intelligence, counterintelligence, or other national security activities authorized by law. * Protective Services for the President and Others. We may disclose health information about you to authorized Federal officials so they may provide protection to the President or other authorized persons or foreign heads of state or may conduct special investigations. * Inmates. If you are an inmate of a correctional institution or under the custody of a law enforcement official, we may release health information about you to the correctional institution or law enforcement official. This release would be necessary (1) for the institution to provide you with health care; (2) to protect your health and safety or the health and safety of others; or (3) for safety and security of the correctional institution. * Serious Threats. As permitted by applicable law and standards of ethical conduct, we may use and disclose protected health information if we, in good faith, believe that the use or disclosure is necessary to prevent or lessen a serious and imminent threat to the health and safety or a person or the public or is necessary for law. Note: HIV related information, genetic information, alcohol and/or substance abuse records, mental health records and other specially protected health information may enjoy certain special confidentiality protections under applicable State and Federal law. Any disclosures of these types of records will be subject to these special protections. OTHER USES OF YOUR INFORMATION Other uses and disclosures of protected health information not covered by this notice or the laws that apply to us will be made only with your permission in a written authorization. You have the right to revoke that authorization at any time, provided that he revocation is in writing, except to the extent that we already have taken action in reliance on your authorization. YOUR RIGHTS 1. You have the right to request restrictions on our uses and disclosures of protected health information for treatment, payment and health care operations. However, we are not required to agree to your request. To request a restriction, you must make you request in writing to the Pharmacy?s Privacy Officer. 2. You have the right to reasonably request to receive confidential communications of protected health information by alternative means or at alternative locations. To make such a request, you must submit your request in writing to the Pharmacy?s Privacy Officer. 3. You have the right to inspect and copy the protected health information contained in your medical and billing records and in any other Pharmacy records used by us to make decisions about, except: * For protected health information involving laboratory tests when your access is restricted by law; * If you are a prison inmate, obtaining a copy of your information may be restricted if it would jeopardize your health, safety, security, custody, or rehabilitation or that of other inmates, or the safety of any officer, employee, or other person at the correctional institution or person responsible for transporting you; * If we obtained or created protected health information as part of a research study, your access to the health information may be restricted for as long as the research is in progress, provided that you agreed to the temporary denial of access when consenting to participate in the research; * For protected health information contained in the records kept by a Federal agency or contractor where your access is restricted by law; and * For protected health information obtained from someone other than us or under a promise of confidentiality when the access requested would be reasonably likely to reveal the source of the information. In order to inspect and copy your health information, you must submit your request in writing to the Pharmacy?s Privacy Officer. If you request a copy of your health information, we may charge you a fee for the costs of copying, mailing your records, as well as other costs associated with your request. We may also deny a request for access to protected health information if: * A licensed health care professional has determined, in the exercise of professional judgment, that the access requested is reasonably likely to endanger your life or physical safety or that of another person; * The protected health information makes reference to another person (unless such other person is a health care provider) and a licensed professional has determined that the access requested is reasonably likely to cause substantial harm to such other person; or * The request for access is made by the individual?s personal representative and a licensed health care professional has determined, in the exercise of professional judgment, that the provision of access to such personal representative is reasonably likely to cause substantial harm to you or another person. If we deny a request for access for any of the three reasons above, then you have the right to have our denial reviewed in accordance with the requirements of applicable law. 4. You have the right to request an amendment to your protected health information, but we may deny your request for amendment, if we determine that the protected health information or record that is subject of the request: * Was not created by us, unless you provide a reasonable basis to believe that the originator of protected health information is no longer available to act on the requested amendment; * Is not part of your medical or billing records or other records used to make decisions about you; * Is not available for inspection as set forth above; or * Is accurate and complete. In any event, any agreed upon amendment will be included as an addition to, and not a replacement of, already existing records. In order to request an amendment to your health information, you must submit your request in writing to the Pharmacy?s Privacy Officer, along with a description of the reason for your request. 5. You have the right to receive an accounting of disclosures of protected health information made by us to individuals or entities other than to you for the six years prior to your request, except for disclosures: * To carry out treatment, payment and health care operations as provided above; * Incident to a use or disclosure otherwise permitted or required by applicable law; * Pursuant to a written authorization obtained from you; * To persons involved in your care or for other notification purposes as provided by law; * For national security or intelligence purposes as provided by law; * To correctional institutions or law enforcement officials as provided by law; * As part of a limited data set as provided by law; or * That occurred prior to April 14, 2003. To request an accounting of disclosures of your health information, you must submit your request in writing to the Pharmacy?s Privacy Officer. Your request must state a specific time period for the accounting. The first accounting you request within a twelve (12) month period will be free. For additional accountings, we may charge you for the costs of providing the list. We will notify you of the costs involved, and you may choose to withdraw or modify your request at that time before any costs are incurred. COMPLAINTS If you believe that your privacy rights have been violated, you should immediately contact the Pharmacy?s Privacy Officer. We will not take action against you for filing a complaint. You may also file a complaint with the Secretary of Health and Human Services. CONTACT PERSON If you have any questions or would like further information about this notice, please contact the Pharmacy?s Privacy Officer.
       
       
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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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    80-07 Jamaica Avenue
    Woodhaven, NY, 11421
    (718) 296-0400

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    Pharmacy Hours

    Mon - Fri: 8:30am - 8:30pm;Sat: 9:00am - 8:00pm;Sun: 10:00am - 6:00pm

    Store Hours

    Mon - Fri: 8:30am - 8:30pm;Sat: 9:00am - 8:00pm;Sun: 10:00am - 6:00pm
     
     
     
    • 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.