We Are Your Partners In Health
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.
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.
Request amendment: 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.