NOTICE OF PRIVACY PRACTICES
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED ANDHOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Cane Creek Pharmacy is required by law to maintain the privacy of your health information (also known as "Protected Health Information or PHI"). In addition, we are required to provide you with this notice of our legal duties and privacy practices regarding your PHI and to abide by the terms of the Notice. We reserve the right to make changes to our practices and Notice and will provide the revised Notice to you upon request.
Uses and Disclosures
We are permitted under applicable law to use and disclose PHI for treatment, payment, and healthcare operations purposes. The following information lists and describes the ways in which we may use or disclose PHI: Treatment: Includes providing, coordinating and managing your healthcare. We may also disclose your PHI to other providers for discussion regarding your treatment, conditions, or medications. Payment: For billing, payment, and reimbursement for any pharmaceutical care services that we provide, we may disclose your PHI to your insurance company or other third party payer.
We may disclose your PHI for health care operations to assist in the evaluation and improvement of the services that we provide. Health care operations include activities related to compliance, quality improvement, management, and training. To individuals involved in your care: We may disclose your PHI to close personal friends, a family member or other person who is involved in your care or payment for care.
We may disclose PHI to our delivery personnel such that we may provide delivery services. Personal communications: We may notify you of refill reminders, information about treatment alternatives, or other health care information that may be of interest to you.
As required by law
We will disclose your PHI when required by law to do so.
Public health activities
We may disclose your PHI for public health activities including preventing or controlling disease, injury or disability; disease exposure; recalls; reporting adverse reactions.
Health oversight activities
We may disclose your PHI to an agency (e.g. Board of Pharmacy) involved in health oversight activities including audits, inspections, and investigations. Reporting victims of abuse, neglect, or domestic violence: When you agree or when required by law, we may notify and disclose your PHI to a government authority if we believe that you have been a victim of abuse, neglect, or domestic violence.
Judicial and administrative proceedings
We may disclose your PHI in response to an administrative or court order. Your PHI may also be disclosed in response to a subpoena, discovery request, or other lawful process; only if efforts have been made to tell you about the request or to obtain an order protecting the information request.
We may disclose your PHI to law enforcement officials to comply with regulations and to assist in their duties or investigations.
Coroners, medical examiners, funeral directors, and organ procurement organizations
We may disclose your PHI to coroners, medical examiners, funeral directors, and organ procurement organizations to assist with their duties.
We may disclose your PHI to researchers for research purposes as long as the privacy requirements of the study have been reviewed and approved by the appropriate committees.
We may disclose your PHI to comply with regulations regarding workers’ compensation or similar programs.
To avert a serious threat to health and safety
We may disclose your PHI when deemed necessary to prevent a serious threat to the health and safety of you, the public, or another individual. The disclosure will only be made to someone able to prevent the threat.
Specific government functions
We may disclose your PHI for specific government functions such as national security, protection of officials, and reporting to military command authorities.
We may disclose your PHI to disaster relief organizations in the event of a disaster.
Other users & disclosures
Except as described in this Notice, other uses and disclosures will only be made with your written authorization. You may revoke your authorization in writing at any time. When we receive a written revocation, we will no longer use or disclose your PHI for the purposes allowed by that authorization.
Your Healthcare Information Rights
The following information lists and explains your rights regarding your PHI. You have the right to: Request restrictions: You have the right to request restrictions on uses and disclosures of your PHI. To do so, you must complete and submit a Request for Restriction Form which will be supplied by the pharmacy. We are not required to agree to your restriction request. If we do agree to your request, we will comply with your request unless you require emergency treatment or your request conflicts with the requirements of state and federal laws.
Access to PHI
You have the right to inspect and obtain a copy of your PHI by submitting a written request. We reserve the right to charge a fee for our costs of copying, mailing, or supplies required to grant your request.
You have the right to request amendment of your PHI if you consider it to be incomplete or inaccurate, by submitting a written request. We are not required to agree to your request. If we do not agree to your request, we will provide you with a written denial including the reasons your request was denied, along with the right to submit a written statement disagreeing with the denial.
Request an accounting of disclosures
After April 14, 2003, you have the right to request an accounting of disclosures of your PHI; excluding disclosures for treatment, payment, and health care options, disclosures to you or based upon your authorization, and certain other exceptions. To submit a request you must complete a Request for Accounting Form which will be provided by the pharmacy your request.
Request confidential communications by alternative means
You have the right to request confidential communications by alternative means by submitting a Request for Confidential Communications Form which will be provided by the pharmacy upon request. We will accommodate all reasonable requests.
Request a paper copy of this notice
You have the right to obtain a paper copy of this notice at any time.
Changes to this notice
We reserve the right to change the terms of this notice and to make the revised or new notice provisions effective for all PHI we maintain. We will provide a copy of the revised or new notice upon request.
If you believe that your privacy rights have been violated, you may file a complaint with us in writing at the location described in “Contact Us” or to the Secretary of the Department of Health and Human Services, Hubert H. Humphrey Building, 200 Independence Ave SW, Washington, DC 20201. There will be no retaliation against you for filing a complaint.