Privacy Policy
All of us at Prosperity Pharmacy value your relationship with us, and we know that
respect for your privacy is the foundation of that relationship. We are committed
to protecting the privacy of your protected health information (PHI) that is in
our possession, and only using and disclosing your PHI as necessary to providing
you with health care products and services. PHI is any information that we posses,
use and disclose that identifies you and relates to your past, current, or future
physical and mental health condition or illness and the health care products and
services that have been provided to you.
This “Notice of privacy practices” (Notice) has been created to help you understand
our legal duties to protect your PHI and how we may use and disclose your PHI in
relation to your past, present, and future physical or mental health condition or
illness and its treatment. We will mainly use and disclose your PHI in relation
to the health care products and services that we provide you, such as dispensing
your prescriptions. Specifically, we will use and disclose your PHI as necessary
to provide treatment to you obtaining payment for health care products and services
provided to you, and other health care operations and activities as described later
in this Notice. This Notice also describes the legal rights that you have related
to your PHI that is in our possession. We take the matters described in this Notice
very seriously because of our relationship with you and the requirement that we
comply with this Notice.
Your PHI will only be used and disclosed as described in this Notice. Should a need
for use and disclosure of your PHI occur that is not described in this Notice, we
will obtain your written authorization before the use and disclosure. At some future
time, it may be necessary for us to revise this Notice. If such becomes necessary,
we will post the revised Notice in the pharmacy and, if you request, provide a written
Notice to you.
Your Rights With Respect To Your PHI
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) provides
you with several rights related to your PHI. These rights are summarized below.
If you would like more information about any of these, please contact our Pharmacy
Privacy Officer at the address or telephone number of our pharmacy.
- You have the right to receive this written Notice of Privacy Practices describing
how we will protect your PHI and your rights related to PHI. You are entitled to
request this written Notice at any time.
- You have the right to request a limitation on our use and disclosure of your PHI.
But please be aware that we may not be able to agree to your requested limitation
if it results in our not being able to provide health care products and services
to your or if we are required to use and disclose the PHI under federal or state
law. All requests for limitation on the use and disclosure of your PHI must be submitted
to our Pharmacy Privacy Officer in writing using a form that we will provide to
you.
- You have the right to review or receive photocopies of our records that contain
your PHI, to the extent that these records are part of a designated record set as
defined by HIPAA. The most common such records are your prescriptions on file with
us, our patient profile for you, and our billing records for health care products
and services that have been provided to you. We will be pleased to allow you to
review such records at no charge during normal business hours. However we may charge
you a reasonable, cost-based fee for photocopies of the records, together with any
expenses for mailing special courier, faxing, and supplies necessary to fulfilling
your request for records.
If we are unable to provide our records to you, we will provide you a written explanation
of why we are not able to provide the records. Depending on the reason, you may
submit a written request for us to reconsider. All requests to review or receive
photocopies of our records that contain your PHI must be submitted to our Pharmacy
Privacy Officer in writing using a form that will provide to you.
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You have the right to request changes in the content of your PHI contained in
our records where you believe the content is incomplete, inaccurate, or for some
other reason needs to be changed. We may not be able to agree to your requested
change if we no longer have the records or if the requested change, we will notify
you in writing as to why we are not able to agree. You will then have the right
to submit to us written statement of disagreement, to which we may elect to further
respond in writing to you. All requests for changes to your PHI in our records must
be submitted to our Pharmacy Privacy Officer in writing, using a form that we will
provide to you.
- You have the right to request that we communicate with you about your PHI in
a confidential manner and only to locations (such as a post office box) or by means
(such as personal cellular telephone) specified by you. All requests for confidential
communications must be submitted to our Pharmacy Privacy Officer in writing, using
a form that we will provide to you.
- You have the right to obtain an accounting of some of our disclosures of your
PHI made after April 14, 2003. By an accounting, we mean a written record of these
disclosures. Some of our disclosures of your PHI are not required by PHI are not
required by HIPAA to be included in the accounting. Most notable among these are
disclosures for purposes of treatment, obtaining payment, and carrying out health
care operations. Other disclosures of your PHI that are not required to be included
in the accounting are disclosures made directly to you or that you have authorized,
made to family, friends, and others who assists you with your care (caregivers)
and made for other purposes allowed by HIPAA. Please consult with our Pharmacy Privacy
Officer for more information on the disclosures not required to be including in
the accounting.
- The period of time for which we are required to provide the accounting is the six-year
period immediately prior to the date of your requests for the accounting but no
earlier then April 14, 2003, however your request for an accounting can be for a
short period of time. You may obtain from us without charge, one accounting during
a 12-month period. However, if you request additional accounting during the same
12-month period, we may charge you a reasonable, cost-based fee for printing or
photocopying of the accounting, together with any expenses for mailing, special
courier, faxing, and supplies necessary to fulfilling your request for the accounting.
If it is becomes necessary for us to charge you for an accounting, we will notify
you in advance and allow you to withdraw or modify your request for the accounting.
All requests for an accounting of our disclosures of your PHI must be submitted
to our Pharmacy Privacy Officer in writing, using a form that we will provide to
you.