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HIPAA Notice of Privacy Practice
Knight Drug Notice of Privacy Practices Effective April 14, 2003 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. The following practices are taken by Knight Drugs ?KD? and its employees to provide our customers with the privacy and security that we feel should accompany your valued business and private healthcare information. To ask questions, make comments or request additional copies of this Notice, please contact the name listed below the section entitles ?Part III KD Duties?. Terms and Definitions: Protected health Information (?PHI?): Is any information that can be used indirectly or directly to identify a patient, and relates to the patient?s past, present or future medical state. Designated Data Set: Refers to the individual patient profiles that KD maintains of their patients on our computer system. KD may change this Notice and apply any new policies or procedures to PHI that was held prior to the effective date of any new notice. Various employees may make the uses and disclosures specified in this Notice. Uses and disclosures that accompany the distribution of prescriptions will be made by pharmacists and in-pharmacy employees. Disclosures made for payment and administrative purposes, depending on their nature, will be made either by pharmacists, pharmacy employees or employees in managerial or support positions. Certain uses and disclosures require a lesser degree of access to health information. Access to health information will be appropriated relative to the necessary amount of information needed for employees to perform their job duties and objectives. Employees have been trained with regards to patient privacy relative to their degree of access to PHI. Part I Regular Uses and Disclosures of PHI: As a general rule, disclosure of PHI will be limited to a minimal necessary amount. This means that KD will disclose the information needed in order to accomplish the objective of a given disclosure. The purpose of the disclosure will be evaluated when deciding the amount of health information necessary to be released. Under law, KD is permitted in some situations to disclose PHI without specific patient authorization. What follow is a list of these uses and disclosures. Disclosures to the Patient: KD will disclose PHI to the individual is it about. For example, when receiving a prescription, pharmacists and technicians will use the patient?s own health information to better serve, counsel and help the patient. Disclosures to Family Members, Guardians and Other Individuals Involved in the Healthcare Treatment of the Patient: KD may disclose certain PHI about a patient to those individuals who are directly involved with the health care of the customer. The pharmacist will use his/her best judgment to determine the amount of information that needs to be disclosed to an individual in question. In certain situations, KD will require forms signed by the patient allowing prescription pick up by others. For example, if an individual comes to pick up the prescription of their spouse , KD employees will only disclose information necessary to provide the spouse with the information that suites the patients best interest and health. Patients may submit written objections to having their prescriptions given to friends, relatives and others. Disclosure in Case of a Verbal or Written Agreement: KD may disclose PHI in accordance with some verbal authorizations made by the patient. For example, if a patient requested disclosure of PHI to a caregiver, KD would disclose the patient?s health information to the caregiver. Disclosure for Treatment: Treatment is roughly defined as the operations and procedures taken to provide healthcare services to patients. For example, information obtained from a doctor can be used to dispense medication to you. Disclosure for Payment: KD may use and disclose your PHI for obtaining payment, premiums, reimbursements or other payments in relation to patient service. This includes such events as determining patient eligibility for drugs or services, adjudicating claims or utilizing review among others. For example, KD may disclose your health information to your insurance company to obtain payment for your prescription. Disclosure for Healthcare Operations: For the purpose of healthcare operations KD can use and disclose your PHI. In this category are occurrences such as quality assessments and improvements, evaluating the performance of health care providers, medical and legal review and the sale of a pharmacy among others. For example, if a retail pharmacy purchased KD, KD might disclose patient records with the sale. Disclosure Regarding Health Related Communications: For example, KD may use health information to contact and inform patient about refills, treatment alternatives, etc. Disclosures for National Priority, Public Health, and in Situations Required By Law: In cases of requests for PHI by a law enforcement official or entity and in compliance with subpoenas or legal requests. Also, the event of a public health official or legal authority charged with the monitoring or overseeing of activities and programs that are legally authorized, who requests health information. For example, if legal request were submitted related to a criminal investigation, KD would disclose the necessary information. Disclosure For Workers? Compensation: KD may disclose PHI as authorized by and in compliance with laws relating to workers? compensation and similar programs. For example, if a patient was seeking workers? compensation and needed disclosures made to prove prescription received as a result of the disability, KD would comply with the laws relating to disclosures in such cases. Disclosure to Determine Pharmacy Compliance with Health Laws and Health Oversight Activities: Disclosures of PHI are permitted to Government agencies, such as the Department of Health and Human Services (HHS), to determine and verify KD?s compliance with Federal and State regulations. In addition, we may disclose PHI to a health oversight agency for the purpose of monitoring healthcare systems, audits, investigations, inspections and licensure. For example, if the HHS requests patient files and a list of disclosures made to inspect KD privacy and security procedures. KD would disclose all requested materials. Incidental Uses and Disclosures: There may be occasional instances where incidental uses or disclosures of PHI are made resulting as by-products or permitted disclosures. For example, if a janitor comes into contact with PHI while performing daily duties, or other health care professionals or patients overhear health information in a waiting room. Disclosure to Business Associates: Certain services that KD provides are offered with the help of other organizations (business associates) that have business dealings with KD. In order for our business associates to provide their services, KD may need to disclose particular PHI to them. For the protection of your PHI, KD requires Business Associates to take appropriate measures to protect your health information. Examples of Business Associates include, but not limited to, billing services and payment recovery organizations. Disclosures for Lawsuits and Disputes: In accordance with court or administrative orders, KD may release PHI about you for a lawsuit, legal dispute or proceedings. Disclosures for Particular Government Functions: KD may disclose PHI of military personnel as required by military authorities, of inmates to correctional institutions or officials, in accordance with law enforcement requests and for national security reasons. Disclosures to Prevent Threat to Health or Safety: KD may disclose PHI to avert a threat to the health and safety of a patient or other, to one who is in position to prevent the threat. Patient Rights: Patients have the following rights with respect to their PHI: To exercise any of the following rights contact one of the KD locations or the Compliance Officer listed below. Obtain a Copy of Notice of Privacy Practices: Patients have the right to request a paper copy of the KD Notice of Privacy Practices even if they have previously received a copy in any transmittal fashion. The patient also has the right to request new copies and versions when changes are made. For example, if a patient requests a copy of the KD Notice of Policies and Procedures to be mailed, emailed, or handed to them. Access Inspect and Copy Health Records: Patients have a right to make written requests for access to, inspection of, and copies of the paper and electronic records from the ?Designated Record Set? of their health records. KD reserves the right to deny the requests made in certain circumstances, or in the case of an acceptance, reserves the right to charge for processing and for copies made. In cases of denial, the patient has the right to review the denial with a licensed health care professional to be specified by KD, subjecting the request to further denial or acceptance. In cases of information gather as a result of legal or administrative actions, patient consented research programs in which a temporary suspension would apply and information from a confidential source other than a health care provider, access may be denied without review. An example of this right would be a patient requesting a copy of their personal health records. Right to an Accounting of Disclosures of PHI: The patient has the right to request a list of certain disclosures that KD made of his/her PHI, in writing KD will respond within sixty (60) days of receiving a written request, and provide the documents free of charge for the first request made in every 12 month period. The request is limited to the disclosures made after April 14, 2003 and only for the most recent six years. The request excludes disclosures made for treatment, payment collection and other mentioned in this notice. For example, a patient reserves the right to request a list of all parties who have received their PHI, the dates of disclosures, a brief description of the information disclosed and a concise statement as to the purpose of the disclosure. Right to Request Amendment and Correction to Personal Health File: The patient has a right to request in writing, that a correction or addition be made to their personal healthcare information file. In the event of this request KD will notify the patient within sixty (60) days plus an optional (30) says of the acceptance/decline of this request, ns share the correction with others who have relevant records of the patient?s medical information. KD reserves the right to deny this request if the information maintained in the pharmacy records are: accurate and complete, not available to patient access, or not created by KD-if complier of the information is still accessible. If the request is denied, KD will provide the patient with written explanation of the denial along with further options available to the patient, when applicable. KD reserves the right to request verification of certain requested amendments. For example, the patient may request that an address change or name change be made to the personal file of the patient. Right to Restrict Disclosures Additional Privacy and Alternate Methods of Communication: A document agreement can be sought by the patient in writing to request restrictions on whom PHI is disclosed to when it deals with patient treatment, payment or health care. The patient may submit a written request that family members not be told PHI about him/her. If patient feels that any of these rights were violated or not performed to the extent outlined above, he/she may submit a complaint in accordance with the procedure below. Part III KD Duties/Complains: Patients and KD customers may file complaints regarding issues with their personally identifiable healthcare information, the handling of private information by KD in general or any other complaint relating to healthcare information privacy. There are two ways to submit complaints. One of these is to report issues directly to KD. The other is to report complaints to the Secretary of the Department of Health and Human Services. Reception and Documentation Procedures: In the event that a patient has a complaint pertaining to a privacy issue or a KD policy with regards to PHI, he/she can submit a complaint within 180 days from when the complainant realized the act committed or omitted. KD will consider the complaint as well as the document the information and any resolutions that resulted from the complaint. KD will contact the individual who made the complaint and either explain the event or notify the individual of any actions takes as a result of the complaint. Complaints should either be in the form of writing or vocal/personal communication and directed to: Compliance Officer 248-540-8066 Fax248-540-0112 380 N. Old Woodward Ave. Suite 112 Birmingham, MI 48009 Complianceofficer@knightdrugs.com To file a complaint to the pharmacy: The procedure to follow for filing complaints is as follows: 1. Patient or customer communicated to Compliance Officer or KD employee the case of the complaint, including: date of incident, location of the incident, nature and details of the incident, if employees are involved in the complaint the names of all employees involved, name and contact information of the individual making the complaint. 2. The complaint will be given attention, evaluated, and documented. 3. If needed, actions will be taken to resolve the complaint issue. 4. If the patient provides contact information KD will communicate with the individual, informing them of any relevant information. KD policy is to pay close attention to any complaints filed, and evaluate them openly and without bias. To submit a complaint to the Department of Health and Human Services: 1. Complaint filed in writing, either on paper or electronically 2. The complaint must include the name of the pharmacy involved in the act or omission that is the source of the complaint 3. Complaint must be filed within 180 days of when the complainant knew of the event.

About Us

Welcome to Knight Drugs. 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
    Knight Drug Notice of Privacy Practices Effective April 14, 2003 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. The following practices are taken by Knight Drugs ?KD? and its employees to provide our customers with the privacy and security that we feel should accompany your valued business and private healthcare information. To ask questions, make comments or request additional copies of this Notice, please contact the name listed below the section entitles ?Part III KD Duties?. Terms and Definitions: Protected health Information (?PHI?): Is any information that can be used indirectly or directly to identify a patient, and relates to the patient?s past, present or future medical state. Designated Data Set: Refers to the individual patient profiles that KD maintains of their patients on our computer system. KD may change this Notice and apply any new policies or procedures to PHI that was held prior to the effective date of any new notice. Various employees may make the uses and disclosures specified in this Notice. Uses and disclosures that accompany the distribution of prescriptions will be made by pharmacists and in-pharmacy employees. Disclosures made for payment and administrative purposes, depending on their nature, will be made either by pharmacists, pharmacy employees or employees in managerial or support positions. Certain uses and disclosures require a lesser degree of access to health information. Access to health information will be appropriated relative to the necessary amount of information needed for employees to perform their job duties and objectives. Employees have been trained with regards to patient privacy relative to their degree of access to PHI. Part I Regular Uses and Disclosures of PHI: As a general rule, disclosure of PHI will be limited to a minimal necessary amount. This means that KD will disclose the information needed in order to accomplish the objective of a given disclosure. The purpose of the disclosure will be evaluated when deciding the amount of health information necessary to be released. Under law, KD is permitted in some situations to disclose PHI without specific patient authorization. What follow is a list of these uses and disclosures. Disclosures to the Patient: KD will disclose PHI to the individual is it about. For example, when receiving a prescription, pharmacists and technicians will use the patient?s own health information to better serve, counsel and help the patient. Disclosures to Family Members, Guardians and Other Individuals Involved in the Healthcare Treatment of the Patient: KD may disclose certain PHI about a patient to those individuals who are directly involved with the health care of the customer. The pharmacist will use his/her best judgment to determine the amount of information that needs to be disclosed to an individual in question. In certain situations, KD will require forms signed by the patient allowing prescription pick up by others. For example, if an individual comes to pick up the prescription of their spouse , KD employees will only disclose information necessary to provide the spouse with the information that suites the patients best interest and health. Patients may submit written objections to having their prescriptions given to friends, relatives and others. Disclosure in Case of a Verbal or Written Agreement: KD may disclose PHI in accordance with some verbal authorizations made by the patient. For example, if a patient requested disclosure of PHI to a caregiver, KD would disclose the patient?s health information to the caregiver. Disclosure for Treatment: Treatment is roughly defined as the operations and procedures taken to provide healthcare services to patients. For example, information obtained from a doctor can be used to dispense medication to you. Disclosure for Payment: KD may use and disclose your PHI for obtaining payment, premiums, reimbursements or other payments in relation to patient service. This includes such events as determining patient eligibility for drugs or services, adjudicating claims or utilizing review among others. For example, KD may disclose your health information to your insurance company to obtain payment for your prescription. Disclosure for Healthcare Operations: For the purpose of healthcare operations KD can use and disclose your PHI. In this category are occurrences such as quality assessments and improvements, evaluating the performance of health care providers, medical and legal review and the sale of a pharmacy among others. For example, if a retail pharmacy purchased KD, KD might disclose patient records with the sale. Disclosure Regarding Health Related Communications: For example, KD may use health information to contact and inform patient about refills, treatment alternatives, etc. Disclosures for National Priority, Public Health, and in Situations Required By Law: In cases of requests for PHI by a law enforcement official or entity and in compliance with subpoenas or legal requests. Also, the event of a public health official or legal authority charged with the monitoring or overseeing of activities and programs that are legally authorized, who requests health information. For example, if legal request were submitted related to a criminal investigation, KD would disclose the necessary information. Disclosure For Workers? Compensation: KD may disclose PHI as authorized by and in compliance with laws relating to workers? compensation and similar programs. For example, if a patient was seeking workers? compensation and needed disclosures made to prove prescription received as a result of the disability, KD would comply with the laws relating to disclosures in such cases. Disclosure to Determine Pharmacy Compliance with Health Laws and Health Oversight Activities: Disclosures of PHI are permitted to Government agencies, such as the Department of Health and Human Services (HHS), to determine and verify KD?s compliance with Federal and State regulations. In addition, we may disclose PHI to a health oversight agency for the purpose of monitoring healthcare systems, audits, investigations, inspections and licensure. For example, if the HHS requests patient files and a list of disclosures made to inspect KD privacy and security procedures. KD would disclose all requested materials. Incidental Uses and Disclosures: There may be occasional instances where incidental uses or disclosures of PHI are made resulting as by-products or permitted disclosures. For example, if a janitor comes into contact with PHI while performing daily duties, or other health care professionals or patients overhear health information in a waiting room. Disclosure to Business Associates: Certain services that KD provides are offered with the help of other organizations (business associates) that have business dealings with KD. In order for our business associates to provide their services, KD may need to disclose particular PHI to them. For the protection of your PHI, KD requires Business Associates to take appropriate measures to protect your health information. Examples of Business Associates include, but not limited to, billing services and payment recovery organizations. Disclosures for Lawsuits and Disputes: In accordance with court or administrative orders, KD may release PHI about you for a lawsuit, legal dispute or proceedings. Disclosures for Particular Government Functions: KD may disclose PHI of military personnel as required by military authorities, of inmates to correctional institutions or officials, in accordance with law enforcement requests and for national security reasons. Disclosures to Prevent Threat to Health or Safety: KD may disclose PHI to avert a threat to the health and safety of a patient or other, to one who is in position to prevent the threat. Patient Rights: Patients have the following rights with respect to their PHI: To exercise any of the following rights contact one of the KD locations or the Compliance Officer listed below. Obtain a Copy of Notice of Privacy Practices: Patients have the right to request a paper copy of the KD Notice of Privacy Practices even if they have previously received a copy in any transmittal fashion. The patient also has the right to request new copies and versions when changes are made. For example, if a patient requests a copy of the KD Notice of Policies and Procedures to be mailed, emailed, or handed to them. Access Inspect and Copy Health Records: Patients have a right to make written requests for access to, inspection of, and copies of the paper and electronic records from the ?Designated Record Set? of their health records. KD reserves the right to deny the requests made in certain circumstances, or in the case of an acceptance, reserves the right to charge for processing and for copies made. In cases of denial, the patient has the right to review the denial with a licensed health care professional to be specified by KD, subjecting the request to further denial or acceptance. In cases of information gather as a result of legal or administrative actions, patient consented research programs in which a temporary suspension would apply and information from a confidential source other than a health care provider, access may be denied without review. An example of this right would be a patient requesting a copy of their personal health records. Right to an Accounting of Disclosures of PHI: The patient has the right to request a list of certain disclosures that KD made of his/her PHI, in writing KD will respond within sixty (60) days of receiving a written request, and provide the documents free of charge for the first request made in every 12 month period. The request is limited to the disclosures made after April 14, 2003 and only for the most recent six years. The request excludes disclosures made for treatment, payment collection and other mentioned in this notice. For example, a patient reserves the right to request a list of all parties who have received their PHI, the dates of disclosures, a brief description of the information disclosed and a concise statement as to the purpose of the disclosure. Right to Request Amendment and Correction to Personal Health File: The patient has a right to request in writing, that a correction or addition be made to their personal healthcare information file. In the event of this request KD will notify the patient within sixty (60) days plus an optional (30) says of the acceptance/decline of this request, ns share the correction with others who have relevant records of the patient?s medical information. KD reserves the right to deny this request if the information maintained in the pharmacy records are: accurate and complete, not available to patient access, or not created by KD-if complier of the information is still accessible. If the request is denied, KD will provide the patient with written explanation of the denial along with further options available to the patient, when applicable. KD reserves the right to request verification of certain requested amendments. For example, the patient may request that an address change or name change be made to the personal file of the patient. Right to Restrict Disclosures Additional Privacy and Alternate Methods of Communication: A document agreement can be sought by the patient in writing to request restrictions on whom PHI is disclosed to when it deals with patient treatment, payment or health care. The patient may submit a written request that family members not be told PHI about him/her. If patient feels that any of these rights were violated or not performed to the extent outlined above, he/she may submit a complaint in accordance with the procedure below. Part III KD Duties/Complains: Patients and KD customers may file complaints regarding issues with their personally identifiable healthcare information, the handling of private information by KD in general or any other complaint relating to healthcare information privacy. There are two ways to submit complaints. One of these is to report issues directly to KD. The other is to report complaints to the Secretary of the Department of Health and Human Services. Reception and Documentation Procedures: In the event that a patient has a complaint pertaining to a privacy issue or a KD policy with regards to PHI, he/she can submit a complaint within 180 days from when the complainant realized the act committed or omitted. KD will consider the complaint as well as the document the information and any resolutions that resulted from the complaint. KD will contact the individual who made the complaint and either explain the event or notify the individual of any actions takes as a result of the complaint. Complaints should either be in the form of writing or vocal/personal communication and directed to: Compliance Officer 248-540-8066 Fax248-540-0112 380 N. Old Woodward Ave. Suite 112 Birmingham, MI 48009 Complianceofficer@knightdrugs.com To file a complaint to the pharmacy: The procedure to follow for filing complaints is as follows: 1. Patient or customer communicated to Compliance Officer or KD employee the case of the complaint, including: date of incident, location of the incident, nature and details of the incident, if employees are involved in the complaint the names of all employees involved, name and contact information of the individual making the complaint. 2. The complaint will be given attention, evaluated, and documented. 3. If needed, actions will be taken to resolve the complaint issue. 4. If the patient provides contact information KD will communicate with the individual, informing them of any relevant information. KD policy is to pay close attention to any complaints filed, and evaluate them openly and without bias. To submit a complaint to the Department of Health and Human Services: 1. Complaint filed in writing, either on paper or electronically 2. The complaint must include the name of the pharmacy involved in the act or omission that is the source of the complaint 3. Complaint must be filed within 180 days of when the complainant knew of the event.
       
       
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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

    Store Location & Directions

    8483 Holly Road Suite 202
    Grand Blanc, MI, 48439
    (810) 603-0918

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    Pharmacy Hours

    Mon - Fri: 9:00am - 6:00pm;Sat: 9:00am - 12:00pm;Sun: Closed;

    Store Hours

    Mon - Fri: 9:00am - 6:00pm;Sat: 9:00am - 12:00pm;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.