 |
Categories |
 |
|
 |
Manufacturers |
|
|
|
|
|
Quick Find |
|
|
|
Information |
|
|
|
| |
SEASIDE PHARMACY 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 READ THIS NOTICE CAREFULLY.
EFFECTIVE April 14, 2003
Our Commitment to Your Privacy
Seaside Pharmacy
is dedicated to maintaining the privacy of your identifiable health
information. In conducting our business, we will create records
regarding you and the treatment and services we provide you. We are
required by law to maintain the confidentiality of health information
that identifies you. We also are required by law to provide you with
this notice of our legal duties and privacy practices concerning your
identifiable health information. By law, we must follow the terms of
the Notice of Privacy Practices that we have in effect at the time.
To summarize, this notice provides you with the following information: - How we may use and disclose your identifiable health information;
- Your privacy rights in your identifiable health information;
- Our obligations concerning the use and disclosure of your identifiable health information.
The
terms of this notice apply to all records containing your identifiable
health information that are created or retained by our organization. We
reserve the right to revise or amend our Notice of Privacy Practice.
Any revision or amendment to this notice will be effective for all of
your records our organization has created or maintained in the past,
and for any of your records we may create in the future.
If you have any questions about this notice, please contact Seaside Pharmacy
We may use and disclose your information in the following ways:
- Treatment
We may use your identifiable information to provide supplies
and services to you. For example, we ask you to provide us with
such information as body weight, height , etc. Many of the people
who work for us may use or disclose your identifiable health
information in order to provide supplies and services to you
or to assist others in your treatment. Additionally, we may
disclose your identifiable health information to others who
may assist in your care, such as your physician, therapists,
spouse, children or parents.
- Payment
We may use and disclose your identifiable health information
in order to bill and collect payment for the services and supplies
you may receive from us. For example, we may contact your health
insurer to certify that you are eligible for benefits (and for
what range of benefits), and we may provide your insurer with
details regarding your treatment to determine if your insurer
will cover, or pay for your supplies and/or services. We may
also use and disclose your identifiable health information to
obtain payment from third parties that may be responsible for
such costs, such as family members. Also, we may use your identifiable
health information to bill you directly for services and supplies.
- Health
Care Operations
We may use and disclose your identifiable health information
to operate our business. As examples of the ways in which we
may use and disclose your health information for our operations,
we may use your health information to evaluate the quality of
care you receive from us, or to conduct cost-management and
business planning activities for our business.
- Appointment Reminders
We may use and disclose your identifiable health information
to contact you and remind you of visits/deliveries.
- Health-Related Benefits and Services
We may use your identifiable health information to inform you
of health-related benefits or services that may be of interest
to you.
- Release of Information to Family
/ Friends
We may release your identifiable health information to a friend
or family member that is helping you pay for your health care,
or who assists in taking care of you.
- Disclosures Required By Law
We will use and disclose your identifiable health information
when we are required to do so by federal, state or local laws.
Use and Disclosure of Your Identifiable Health Information in Certain Special Circumstances
The following categories describe unique scenarios in which we may
use or disclose your identifiable health information:
- Public Health Risk
We may disclose your identifiable health information
to public health authorities that are authorized by law to collect
information for the purpose of:
- Maintaining vital records, such as births and deaths;
- Reporting child abuse or neglect;
- Preventing or controlling disease, injury or disability;
- Notifying a person regarding a potential exposure to
a communicable disease;
- Notifying a person regarding a potential risk for spreading
or contracting a disease or condition;
- Reporting reactions to drugs or problems with products
or devices;
- Notifying individuals if a product or device they may
be using has been recalled;
- Notifying appropriate government agency(ies) and authority(ies)
regarding the potential abuse or neglect of an adult patient
(including domestic violence); however, we will only disclose
this information if the patient agrees or we are required
or authorized by law to disclose this information.
- Health Oversight Activities
We may disclose your health information to a health
oversight agency for activities authorized by law. Oversight
activities can include, for example, investigations, inspections,
audits, surveys, licensure and disciplinary actions; civil,
administrative, and criminal procedures or actions; or other
activities necessary for the government to monitor government
programs, compliance with civil rights laws and the health care
system in general.
- Lawsuits and Similar Proceedings
We may use and disclose your identifiable health information
in response to a court or administrative order, if you are involved
in a lawsuit or similar proceeding. We also may disclose your
identifiable health in response to a discovery request, subpoena,
or other lawful process by another party involved in a dispute,
but only if we have made an effort to inform you of the request
or to obtain an order protecting the information the party has
requested.
- Law Enforcement
We may release identifiable health information if asked
to do so by a law enforcement official:
- Regarding a crime victim in certain situations, if
we are unable to obtain the person?s agreement;
- Concerning a death we believe might have resulted from
criminal conduct;
- Regarding criminal conduct in our offices;
- In response to a warrant, summons, court order, subpoena,
or similar legal process;
- To identify/locate a suspect, material witness, fugitive
or missing person;
- In an emergency, to report a crime (including the location
or victim(s) of the crime, or the description, identity
or location of the perpetrator).
- Serious Threats to Health or Safety
We may use and disclose your identifiable health information
when necessary to reduce or prevent a serious threat to your
health and safety or the health and safety of another individual
or the public. Under these circumstances, we will only make
disclosures to a person or organization able to help prevent
the threat.
- Military
We may disclose your identifiable health information
if you are a member of U.S. or foreign military forces (including
veterans) and if required by the appropriate military command
facilities.
- National Security
We may disclose your identifiable health information to federal
officials for intelligence and national security activities
authorized by law. We also may disclose your identifiable health
information to federal officials in order to protect the President,
other officials or foreign heads of state, or to conduct investigations.
- Inmates
We may disclose your identifiable health information to correctional
institutions or law enforcement officials if you are an inmate
or under the custody of a law enforcement official. Disclosure
for these purposes would be necessary: (a) for the institution
to provide health care services to you, (b) for the safety and
security of the institution, and/or (c) to protect your health
and safety or the health and safety of other individuals.
- Workers' Compensation
We may release your identifiable health information for workers?
compensation and similar programs.
- Coroners, Medical Examiners and Funeral
Directors
We may disclose health information to a coroner or medical
examiner. We may also disclose medical information to funeral
directors consistent with applicable law to carry out their
duties.
- Organ Procurement Organizations
Consistent with applicable law, we may disclose health information
to organ procurement organizations or entities engaged in the
procurement, banking, or the transportation of organs for the
purpose of tissue donation and transplant.
- Research
We may disclose information to researchers when their
research has been approved by an Institutional Review Board
or Privacy Board that has reviewed the research proposal and
established protocols to ensure the privacy of your healthcare
information.
Your Rights Regarding Your Identifiable Health Information
- Confidential Communications
You have the right to request that we communicate with you about
your health and related issues in a particular manner or at
a certain location. For instance, you may ask that we contact
you at home, rather than work. In order to request a type of
confidential communication, you must make a written request
to us, specifying the requested method of contact or location
where you wish to be contacted. We will accommodate reasonable
requests. You do not need to give a reason for your request.
- Requesting Restrictions
You have the right to request a restriction in our use or disclosure
of your identifiable health information for treatment, payment
or health care operations. Additionally, you have the right
to request we limit our disclosure of your identifiable health
care information to individuals involved in your care or the
payment for your care, such as family members and friends. We
are not required to agree to your request; however, if we
do agree, we are bound by our agreement except when otherwise
required by law, in emergencies, or when the information is
necessary to treat you. In order to request a restriction in
our use or disclosure of your identifiable health information,
you must make your request in writing to us. Your request must
describe in clear and concise fashion: (a) the information you
wish restricted; (b) whether you are requesting to limit our
use, disclosure or both; and (c) to whom you want the limits
to apply.
- Inspection and Copies
You have the right to inspect and obtain a copy of the identifiable
health information that may be used to make decisions about
you, including patient medical records and billing records,
but not including psychotherapy notes. You must submit your
request in writing to us in order to inspect and/or obtain a
copy of your identifiable health information. We may charge
a fee for the costs of copying, mailing, labor and supplies
associated with your request. We may deny your request to inspect
and/or copy in certain limited circumstances; however, you may
request a review of our denial. Reviews will be conducted by
another licensed health care professional chosen by us.
- Amendment
You may ask us to amend your health information if you believe
it to be incorrect or incomplete, and you may request an amendment
for as long as the information is kept by or for us. To request
an amendment, your request must be made in and submitted to
us in writing. You must provide us with a reason that supports
your request for amendment. We will deny your request if you
fail to submit your request (and the reason supporting your
request) in writing. Also, we may deny your request if you ask
us to amend information that is: (a) accurate and correct; (b)
not part of the identifiable health information kept by or for
us; (c) not part of the identifiable health information which
you would be permitted to inspect and copy; (d) not created
by us, unless the individual or entity that created the information
is not available to amend the information.
- Accounting of Disclosures
All of our patients have the right to request an ?accounting
of disclosures.? An ?accounting of disclosures? is a list of
certain disclosures we have made of your identifiable health
information. In order to obtain an accounting of disclosures,
you must submit your request in writing to our office. All requests
for an ?accounting of disclosures? must state a time period
which may not be longer than six years and may not include dates
before April 14, 2003. The first list you request within a 12
month period is free of charge, but we may charge you for additional
lists within the same 12 month period. We will notify you of
the cost involved with additional requests, and you may withdraw
your request before you incur any costs.
- Right to a Paper Copy of This
Notice
You are entitled to receive a paper copy of our Notice of
Privacy Practices. You may ask us to give you a copy of
this notice at any time. To obtain a paper copy of this notice,
contact our office.
- Right to File a Complaint
If you believe your privacy rights have been violated, you may
file a complaint with us or with the Office of Civil Rights.
All complaints must be in writing. You will not be penalized
for filing a complaint.
- Right to Provide an Authorization
for Other Uses and Disclosures
We will obtain your written authorization for uses and disclosures
that are not identified by this notice or permitted by applicable
law. Any authorization you provide to us regarding the use and
disclosure of your identifiable health information may be revoked
at any time in writing. After you revoke your authorization,
we will no longer use or disclose your identifiable health information
for the reasons described in the authorization. Please note,
we are required to retain records of your care.
|
| |
