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 REVIEW IT CAREFULLY.
Effective Date: January 1, 2024
Our Legal Duty
Healthville Pharmacy is required by law to maintain the privacy of your protected health information (PHI), to provide you with notice of our legal duties and privacy practices with respect to PHI, and to notify you following a breach of unsecured PHI. We are required to abide by the terms of this Notice while it is in effect.
We reserve the right to change the terms of this Notice and to make the new Notice effective for all PHI we maintain. Upon request, we will provide you with any revised Notice of Privacy Practices.
How We May Use and Disclose Your Health Information
The following categories describe the ways we may use and disclose your PHI:
Treatment
We may use and disclose your PHI to provide, coordinate, or manage your healthcare and related services. For example, we may disclose your PHI to your prescribing physician to fill or verify a prescription, or to a specialist providing follow-up care.
Payment
We may use and disclose your PHI to obtain payment for services. For example, we may submit your prescription information to your insurance company for reimbursement.
Healthcare Operations
We may use and disclose your PHI to support our business operations, including quality assessment, employee training, accreditation, licensing, and audits. For example, we may review PHI to evaluate staff performance.
Appointment Reminders and Refill Notifications
We may use your PHI to contact you with reminders about prescription refills or to notify you when your order is ready for pickup or has been shipped.
As Required by Law
We will disclose your PHI when required to do so by federal, state, or local law, including to report certain communicable diseases, respond to court orders, or comply with regulatory audits.
Public Health Activities
We may disclose your PHI to public health authorities for activities such as disease surveillance, product recalls, or reporting adverse reactions to medications.
Health Oversight Activities
We may disclose PHI to government agencies for oversight activities authorized by law, including audits, investigations, and inspections by the DEA, state pharmacy boards, or other regulatory bodies.
Serious Threats to Health or Safety
We may use or disclose your PHI if we believe in good faith that doing so is necessary to prevent or lessen a serious and imminent threat to you or others.
Business Associates
We may share your PHI with third parties (business associates) that perform services on our behalf, such as billing companies, IT vendors, and shipping partners. We require these parties to protect your PHI through Business Associate Agreements.
Uses and Disclosures Requiring Your Authorization
The following uses and disclosures require your written authorization:
- Most disclosures of psychotherapy notes.
- Use or disclosure of PHI for marketing purposes.
- Sale of your PHI.
- Any use or disclosure not described in this Notice.
You may revoke a prior authorization in writing at any time, except where we have already taken action in reliance on it.
Your Rights Regarding Your Health Information
You have the following rights with respect to your PHI:
Right to Inspect and Copy
You have the right to inspect and obtain a copy of your PHI that we maintain. To request access, submit a written request to our Privacy Officer. We may charge a reasonable fee for copies. We will respond within 30 days.
Right to Amend
If you believe your PHI is incorrect or incomplete, you may request an amendment. Submit your request in writing with a reason. We may deny the request under certain circumstances and will explain any denial in writing.
Right to an Accounting of Disclosures
You have the right to request a list of disclosures we have made of your PHI for purposes other than treatment, payment, or healthcare operations during the past six years. We will provide one accounting per year at no charge.
Right to Request Restrictions
You may request restrictions on how we use or disclose your PHI for treatment, payment, or operations. We are not required to agree to your request unless it involves a disclosure to a health plan for services you have paid for in full.
Right to Request Confidential Communications
You may request that we communicate with you about your health matters using alternative means or locations (e.g., use a different phone number or address). We will accommodate reasonable requests.
Right to a Paper Copy of This Notice
You may request a paper copy of this Notice at any time, even if you have agreed to receive it electronically.
How to Exercise Your Rights
To exercise any of the rights described above, please submit a written request to our Privacy Officer. We will acknowledge your request and respond within 30 days. There is no penalty for filing a complaint.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services, Office for Civil Rights:
- U.S. Department of Health and Human Services — Office for Civil Rights
200 Independence Avenue, S.W., Washington, D.C. 20201
Phone: 1-877-696-6775
Website: www.hhs.gov/ocr
We will not retaliate against you for filing a complaint.
Contact Our Privacy Officer
For questions about this Notice or to exercise your rights, contact:
Privacy Officer — Healthville Pharmacy
1202 Welby Ct, Laredo, TX 78041
Email: privacy@healthvillepharmacy.com
Phone: 1-855-603-0976