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.
You know and trust Mobile Pharmacy Solutions and Mobile Pharmacy Solutions Pharmacy. We value your trust.
What information is protected
- How Mobile Pharmacy Solutions Pharmacy may use and disclose your protected information
- Your rights concerning your protected information
- What Information is Protected
- Your past, present or future medical health or condition.
- Medical care that is provided to you, or
- The past, present or future payment for medical care provided to you.
How We May Use or Disclose Protected Information
Mobile Pharmacy Solutions Pharmacy may use or disclose your protected information to provide you with treatment, obtain payment for your treatment, or perform health care operations. Some examples of how we may use or disclose your protected information for these reasons are:
Treatment. We may use or disclose your protected information to dispense prescription medications or devices to you, provide you with information and counseling on your drug therapy, and communicate with your physician, your physician's staff, emergency treatment personnel or other health care professionals to ensure you receive appropriate treatment.
Payment. We may use or disclose your protected information to determine the amount of your co–payment responsibility and to obtain payment for your treatment from your insurer or pharmacy benefit manager.
Health Care Operations. We may use your protected information to review the performance of our pharmacists, to prevent fraud and to develop compliance programs in order to offer more effective and comprehensive treatment to you.
Mobile Pharmacy Solutions Pharmacy may also use or disclose your protected information for other reasons. Those reasons and some examples of how we may use or disclose your protected information for those reasons are:
Communications with you. We may use your protected information to contact you. We may contact you to ensure that your prescription is working effectively, or to provide you with refill reminders or information about treatment alternatives.
Health oversight agencies. We may disclose your protected information to agencies authorized by law to perform audits, investigations or inspections for the oversight of the health care system, government benefit programs, government regulatory programs or civil rights laws.
Judicial and administrative proceedings. We may disclose your protected information in response to a court order, administrative order, subpoena, warrant, or other lawful process.
Law enforcement. We may disclose your protected information as required by law in response to requests from law enforcement.
Services. We may hire third parties to perform certain services for us. We may disclose your protected information to these third parties so that they can perform the services we have asked them to do. These third parties will be required to protect your information and will not be allowed to use your information for any purpose other than to provide the services we have requested.
Special Circumstances. We may disclose your protected information in certain special circumstances. Such circumstances include disclosures to agencies authorized by law to collect information for national security and intelligence activities, for specialized government functions in the event you are a veteran or are in the military, for investigation of a death or identification of a deceased person, for review of product quality and safety, to avert a threat to health or safety of an individual or the public, or to comply with requirements for worker's compensation programs.
The examples given above are for illustration only. They may not be all–inclusive. Mobile Pharmacy Solutions Pharmacy may also use or disclose your protected information as otherwise required by law. Mobile Pharmacy Solutions Pharmacy will obtain your written authorization before using or disclosing your protected information for any reason other than those included in this Notice. You may revoke your authorization in writing at any time. Upon receipt of your written revocation, we will stop using or disclosing your protected information, except to the extent that we have already taken action in reliance on the authorization.
You have certain rights concerning your protected information and this Notice. These rights include:
Notice. You may request a copy of the Notice at any time. To request a paper copy, visit your Mobile Pharmacy Solutions Pharmacy.
Inspection and copies. You have the right to inspect and receive a copy of the protected information we maintain about you. To do so, contact your Mobile Pharmacy Solutions Pharmacy. Your Mobile Pharmacy Solutions Pharmacy may request that you submit a written request. We may charge you a fee for the costs of copying and mailing your protected information.
Amendments. If you feel that the protected information we maintain about you is incomplete or incorrect, you may request that we amend it. To request an amendment, contact your local Mobile Pharmacy Solutions Pharmacy. Your local Mobile Pharmacy Solutions Pharmacy may request that you submit a written request. The request must include the reason you are requesting the amendment. In certain cases, we may deny your request for amendment. If we deny your request for amendment, you may send us a written statement disagreeing with our denial.
Restrictions on uses and disclosures. You have the right to request additional restrictions on our use or disclosure of your protected information. Your request must be submitted in writing to your Mobile Pharmacy Solutions Pharmacy. We are not required to agree to any restrictions you request.
Accounting of disclosures. You have the right to receive an accounting of the disclosures we have made of your protected information. The accounting will not include disclosures made for treatment, payment or health care operations, disclosures made directly to you, your friends or family members involved in your care, or disclosures authorized by you. The right to receive an accounting of disclosures is subject to certain other exceptions, restrictions, and limitations. To request an accounting of disclosures, contact your Mobile Pharmacy Solutions Pharmacy. Your Mobile Pharmacy Solutions Pharmacy may request that you submit your request in writing. The first accounting you request within a 12 month period will be provided free of charge, but you may be charged for the cost of additional accountings. We will notify you of the cost involved and you may then withdraw or modify your request.
Alternative Communications. You may request that we contact you about your protected information only in writing or at a different residence. We will accommodate reasonable requests. To make a request, you must submit your request in writing to your Mobile Pharmacy Solutions Pharmacy.
For More Information or to Report a Problem
Revisions to Notice
Mobile Pharmacy Solutions Pharmacy may revise the terms of this Notice and make the new Notice effective for all of your protected information. If Mobile Pharmacy Solutions Pharmacy makes a material change to this Notice, a new Notice will be posted at your Mobile Pharmacy Solutions Pharmacy and will be available to you upon request at your Mobile Pharmacy Solutions Pharmacy.
This Notice is effective as of June 1st, 2009.
Mobile Pharmacy Solutions Pharmacy is required by law to maintain the privacy of your protected information and to provide you with this Notice. Mobile Pharmacy Solutions Pharmacy is required to comply with the terms of this Notice for so long as it is in effect.
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Last updated January 29, 2009.