Browning’s Pharmacy & Health Care, Inc.
141 E. Hibiscus Blvd.
Melbourne, Florida 32901
(321) 725-6320
Notice of Privacy Practices
As required by the Privacy
Regulations Promulgated Pursuant to the Health Insurance
Portability and Accountability Act of 1996
(HIPAA)
This notice describes how health
information about you may be used and disclosed, and how you
can get access to your identifiable health information.
Please review this notice carefully!
Browning’s Pharmacy & Health Care, Inc.
4207 Vineland Road, Suite M-1
Orlando, Florida 32811
(407) 650-9585
Federal Law requires Browning’s Pharmacy and Health Care, Inc. to keep your protected health information private. The law also requires us to provide you with this notice. This notice explains our legal duties and privacy practices regarding protected health information. We must follow the terms of this notice, which becomes effective on April 14, 2003.
Browning’s Pharmacy & Health Care, Inc. uses your health information to treat according to physicians orders, file claims for payment of services received and to manage our operations. We may also use your health information to tell you about treatment alternatives or other health-related benefits and services. The following are some examples of how we may use your health information:
· Your doctor may send us a prescription. The prescription includes information that identifies you and the type of care you require.
· We file claims, for services rendered to you , to insurance carriers and other third party payors for payment of said services.
· We may share your information with companies who provide services to us and we have an appropriate agreement on file to protect your personal information.
· We may send appointment reminders and notices of events that may be of interest to you.
Browning’s Pharmacy and Health Care, Inc. may also use and disclose your health information as permitted by law, including:
· For public health, such as disaster relief; disease control; or to report abuse, neglect, or domestic violence
· For health oversight, such as inspections, investigations, and audits
· To avert a serious threat to health or safety
·
of a person or the public
· To law enforcement; or in response to a court order, subpoena, or other legal process
· To the federal government for national security, protective services, military, or veterans activities
· To conduct research as permitted by law
· For worker’s compensation or other similar programs
· To coroners, medical examiners, and funeral directors; and for organ donations
· To your family or other persons who are involved in your medical care including payment of bills or an agent of the facility where you reside. (You have the right to object to disclosing this information.)
· As otherwise required by law
Other uses or disclosures of your protected health information require your written authorization. If you give us your authorization, you may cancel it by writing to our Privacy Officer at the address listed on the reverse. If you cannot give your authorization due to an emergency, we may release your health information if it is in your best interest _____________________________________________
Your Health Information Rights
You have the following rights with respect to your protected health information:
· To see or obtain a copy of your health information that is maintained by Browning’s Pharmacy & Health Care, Inc. We may not be able to provide health information that includes psychotherapy notes, is part of a legal case, or is otherwise excluded from disclosure by law. We may charge a copying fee.
· To request we amend health information we maintain that is wrong or incomplete.
·
· To request a list of where we have sent your health information since April 14, 2003. The list may not include disclosures authorized by you; disclosures for treatment, payment and health care operations; or other disclosures permitted by law.
· To request that we contact you at a different address or phone number, if contacting you about your health information at your present location would endanger you.
· To request we limit the use and disclosure of your health information. Browning’s Pharmacy and Health Care, Inc. is not required to agree to your request.
· To request another copy of this notice.
______________________________________
CONTACT INFORMATION
If you have any questions, wish to make a request regarding your health information, or would like another paper copy of this notice, please contact us at the number listed below. We may ask you to make the request in writing.
HIPAA Privacy Officer
In Melbourne (321) 725-6320
In Orlando (407) 650-9585
Filing a complaint
If you believe your privacy rights have been violated, you may file a complaint with Browning’s Pharmacy and Health Care, Inc. and the Secretary of the Department of Health and Human Services at the addresses below. You will not be retaliated against for filing a complaint.
Grievance Officer
Browning’s Pharmacy & Health Care, Inc.
141 East Hibiscus Boulevard
Melbourne, Florida 32901
Secretary of Health and Human Services
200 Independence Avenue, SW
Washington, DC 20201
______________________________________
Browning’s Pharmacy & Health Care, Inc. reserves the right to revise or amend our notice of privacy practices. Any revision or amendment to this notice will be effective for all of your records our company has created or maintained in the past, and for any of your records we may create or maintain in the future. Our organization will post a copy of our current notice in our offices in a prominent location, and you may request a copy of our most current notice during any visit to our facilities, by phone, in writing or on our web-site.
