Price Ringgold Drug Notice of Privacy Practices
Price Ringgold Drug, hereafter 'the pharmacy, is required by the Health Insurance Portability and Accountability Act, hereafter HIPAA, to maintain the privacy of Protected Health Information, hereafter 'PHI', and to provide you with notice of our legal duties and privacy practices with respect to PHI. This Notice of Privacy Practices, hereafter Notice, describes your rights with respect to your PHI and how we may use and disclose PHI to carry out treatment, payment or health care operations and for other specified purposes that are permitted or required by law.
Your Health Information Rights
Obtain a paper copy of the Notice upon request. You may request a copy of our current Notice at any time. Even if you have agreed to receive the Notice electronically, you are still entitled to a paper copy.
Request a restriction on certain uses and disclosures of PHI. You have the right to request additional restrictions on our use or disclosure of your PHI by sending a written request to the Privacy Officer. We are not required to agree to those restrictions. We cannot agree to restrictions on uses or disclosures that are legally required, or which are necessary to administer our business.
Request a copy of PHI. In most cases, you have the right to access and copy the PHI that we maintain about you. To inspect or copy your PHI, you must send a written request to the Privacy Officer.
Request an amendment of PHI. If you feel that PHI we maintain about you is incomplete or incorrect, you may request that we amend it. To request an amendment, you must send a written request to the Privacy Officer. You must include a reason that supports your request. In certain cases, we may deny your request for amendment.
Receive an accounting of disclosures of PHI. You have the right to receive an accounting of the disclosures we have made of your PHI after April 14, 2003 for most purposes other than treatment, payment, or health care operations. The right to receive an accounting is subject to certain exceptions, restrictions, and limitations. To request an accounting, you must submit a request in writing to the Privacy Officer. Your request must specify the time period. The time period may not be longer than six years and may not include dates before April 14, 2003.
Request confidential communications of PHI. You may request that we contact you about your PHI through confidential channels. To request confidential communication of your PHI, you must submit a request in writing to the Privacy Officer. Your request must tell us how or where you would like to be contacted. We will attempt to accommodate all reasonable requests.
Where to obtain forms for submitting written requests. You may obtain forms for submitting written requests from our Privacy Officer or from the pharmacist on duty.
How We Use and Disclose Protected Health Information About You
Treatment. We may use your health information to provide and coordinate the treatment, medications and services you receive. We may obtain PHI about you from other health care providers for our use in managing your treatment. We may also discuss you health information and provide your PHI to other healthcare providers as may be necessary for your treatment.
Payment. We may use your for payment. We may contact your insurer, pharmacy benefit manager or other health care payor to determine whether it will pay for your medications and supplies and the amount of your co-payment. We will bill you or a third-party payor for the cost of medications and supplies dispensed to you. The information on or accompanying the bill may include information that identifies you, as well as the medications you are taking.
Health Care Operations. We may use your health information for certain operational, administrative and quality assurance activities in an effort to continually improve the quality and effectiveness of the health care and service we provide.
We are permitted to use or disclose your PHI for the following purposes.
To Communicate with Individuals Involved in Your Care or Payment for Your Care. We may disclose to a family member, other relative, close personal friend or any other person you identify, PHI directly relevant to that person's involvement in your care or payment related to your care.
To Communicate with Healthcare Professionals. We may disclose you health information to your physician or other health care provider as it is related to your care and treatment. We may disclose your health information to other pharmacists for purposes of transferring prescriptions, DUR, or other issues related to your care and treatment.
Board of Pharmacy. Georgia law permits the pharmacy to disclose PHI to the Georgia Board of Pharmacy or their representative where it is deemed necessary.
Food and Drug Administration (FDA). We may disclose to the FDA, or persons under the jurisdiction of the FDA, PHI relative to adverse events with respect to drugs, foods, supplements, products and product defects, or post-marketing surveillance information to enable product recalls, repairs, or replacement.
Worker's Compensation. We may disclose your PHI to the extent authorized by and to the extent necessary to comply with laws relating to worker's compensation or other similar programs established by law.
Public Health. As required by law, we may disclose your PHI to public health or legal authorities charged with preventing or controlling disease, injury, or disability.
Law Enforcement. We may disclose your PHI for law enforcement purposes as required by law or in response to a subpoena or court order.
As Required by Law. We will disclose your PHI when required to do so by federal, state, or local law.
Health Oversight Activities. We may disclose your PHI to an oversight agency for activities authorized by law. These oversight activities include audits, investigations, inspections, and credentialing, as necessary for licensure and for the government to monitor the health care system, government programs, and compliance with civil rights laws.
Judicial and Administrative Proceedings. If you are involved in a lawsuit or a dispute, we may disclose your PHI in response to a court or administrative order. We may also disclose health information about you in response to a subpoena, discovery request, or other lawful process instituted by someone else involved in the dispute, but only if efforts have been made, either by the requesting party or us, to tell you about the request or to obtain an order protecting the information requested.
Research. We may disclose your PHI to researchers when their research has been approved by an institutional review board or privacy board that has reviewed the research proposal and established protocols to ensure the privacy of your information.
Coroners, Medical Examiners, and Funeral Directors. We may release your PHI to a coroner or medical examiner. This may be necessary, for example, to identify a deceased person or determine the cause of death. We may also disclose PHI to funeral directors consistent with applicable law to enable them to carry out their duties.
Organ or Tissue Procurement Organizations. Consistent with applicable law, we may disclose your PHI to organ procurement organizations or other entities engaged in the procurement, banking, or transplantation of organs for the purpose of tissue donation and transplant.
Notification. We may use or disclose your PHI to notify or assist in notifying a family member, personal representative, or another person responsible for your care, regarding your location and general condition.
Fundraising. We may contact you as part of a fundraising effort.
Correctional Institution. If you are or become an inmate of a correctional institution, we may disclose to the institution or its agents PHI necessary for your health and the health and safety of other individuals.
To Avert a Serious Threat to Health or Safety. We may use and disclose your PHI when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person.
Military and Veterans. If you are a member of the armed forces, we may release PHI about you as required by military command authorities. We may also release PHI about foreign military personnel to the appropriate foreign military authority.
National Security, Intelligence Activities, and Protective Services for the President and Others. We may release PHI about you to federal officials for intelligence, counterintelligence, protection to the President, and other national security activities authorized by law.
Victims of Abuse or Neglect. We may disclose PHI about you to a government authority if we reasonably believe you are a victim of abuse or neglect. We will only disclose this type of information to the extent required by law, if you agree to the disclosure, or if the disclosure is allowed by law and we believe it is necessary to prevent serious harm to you or someone else.
Other Uses and Disclosures of PHI
We will obtain your written authorization before using or disclosing your PHI for purposes other than those provided for above (or as otherwise permitted or required by law). You may revoke an authorization in writing at any time. Upon receipt of the written revocation, we will stop using or disclosing your PHI, except to the extent that we have already taken action in reliance on the authorization.
The pharmacy will make reasonable efforts to avoid incidental disclosures of protected health information. To reduce the likelihood of an incidental disclosure, we recommend that you use our private consultation area inside the pharmacy for any consultations or conversations concerning your PHI.
HIV/AIDS. We will not disclose AIDS confidential information, except in situations where the subject of the information has provided us with a written authorization allowing the release or where we are authorized or required by state or federal law to make the disclosure.
If you are a minor who has lawfully provided consent for treatment and you wish for the pharmacy to treat you as an adult for purposes of access to and disclosure of records related to such treatment, please notify the Privacy Officer or the pharmacist on duty.
For More Information or To Report a Problem
If you have questions or would like additional information about our privacy practices, you may contact our Privacy Officer, at 7566 Nashville Street Ringgold, GA 30736 or at (706) 935-3131. If you believe your privacy rights have been violated, you can file a complaint with the Privacy Officer. There will be no retaliation for filing a complaint.
This Notice is effective as of April 13, 2003.