hipaa notice of privacy
HIPAA Notice of Privacy
As part of the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA), The McGrath Pharmacy has created this Notice of Privacy Practices (Notice). This Notice describes the pharmacy's private practices and the rights you, the individual, have as they relate to the privacy of your Protected Health Information (PHI). Your PHI is information about you, or that could be used to identify you, as it relates to your past and present physical and mental health care services. HIPAA regulations require that the pharmacy protect the privacy of your PHI that the pharmacy has received or created. The McGrath Pharmacy will abide by the terms presented within this Notice. For any uses or disclosures that are not listed below, the pharmacy will obtain a written authorization from you for that use or disclosure, which you will have the right to revoke at any time, as explained in more detail below. The pharmacy reserves the right to change the pharmacy's privacy practices and this Notice. Revisions to the Notice will be posted in the pharmacy and upon your request, provided to you in a paper format. HOW THE PHARMACY MAY USE AND DISCLOSE YOUR PHI Uses and disclosures of PHI for Treatment: We will use the PHI that we receive from you to fill your prescription and coordinate or manage your health care. Uses and disclosures of PHI for Payment: The pharmacy will disclose your PHI to obtain payment or reimbursement from insurers for your health care services. Uses and disclosures of PHI for Health Care Operations: The pharmacy will use your PHI to conduct quality assessments, improvement activities, and evaluate the pharmacy workforce. ADDITIONAL PERMITTED USES AND DISCLOSURES WITHOUT WRITTEN AUTHORIZATION • As required by law • Public health activities • Victims of abuse, neglect, or domestic violence • Health oversight activities • Judicial and administrative proceedings • Law enforcement purposes • Decedents • Organ, eye, or tissue donation • Research with approved waiver or authorization • Serious threat to health or safety • Specialized government functions • Workers’ compensation • Disaster relief • Business associates OTHER COMMUNICATIONS The McGrath Pharmacy may contact you for refill reminders, information about treatment alternatives, health related benefits, or fundraising activities. You may opt out of fundraising communications. OTHER USES AND DISCLOSURES For all other uses and disclosures of PHI, the pharmacy will obtain a written authorization from you and will only use or disclose pursuant to that authorization. You may revoke such authorization in writing at any time. YOUR HEALTH INFORMATION RIGHTS • Request restrictions on certain uses and disclosures • Request confidential communications at alternate locations • Inspect and/or obtain copies of your PHI • Request amendments to your PHI • Receive an accounting of disclosures • Receive additional copies of this Notice REVISIONS TO THIS NOTICE The McGrath Pharmacy reserves the right to change and revise this Notice and make the new version applicable to all PHI received prior to its effective date. The revised Notice will be available, upon request, to all individuals and posted in the pharmacy. COMPLAINTS If you believe your privacy rights have been violated, you may file a complaint with the pharmacy Privacy Officer or with the Secretary of Health and Human Services. The pharmacy will not retaliate against you for filing a complaint. CONTACT INFORMATION Privacy Officer The McGrath Pharmacy 1251 Lawrence Rd, Lawrenceville, NJ 08648 Phone: 609 882 7777
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