Effective Date: April 14, 2003
Last Updated: 10/01/2025
This Notice describes how medical information about you may be used and disclosed, and how you can access this information.
Please review it carefully.
Purpose of This Notice
As part of the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA), Healthcare Pharmacy has created this Notice of Privacy Practices to explain how we protect your Protected Health Information (PHI). PHI includes any information that identifies you and relates to your past, present, or future physical or mental health or healthcare services.
We are required by law to protect the privacy of your PHI and to abide by the terms of this Notice. We reserve the right to update this Notice at any time, and any changes will be posted in our pharmacy and made available upon request.
How We May Use and Disclose Your PHI
We are permitted by law to use and disclose your PHI in the following ways:
1. For Treatment
We may use your PHI to fill prescriptions, manage your care, and coordinate with other healthcare providers involved in your treatment.
2. For Payment
We may disclose PHI to obtain payment or reimbursement from your insurance company or other responsible parties for services provided.
3. For Health Care Operations
We may use PHI to perform quality assessments, improve our services, train staff, or conduct internal reviews.
Additional Uses and Disclosures Permitted by Law
We may also use or disclose your PHI without your written authorization in the following cases:
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As Required by Law: When mandated by federal, state, or local law.
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Public Health Activities: To prevent or control disease, report adverse reactions, or notify authorities of public health risks.
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Victims of Abuse or Neglect: To report suspected abuse, neglect, or domestic violence to authorized agencies.
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Health Oversight Activities: For audits, inspections, or investigations conducted by authorized health oversight agencies.
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Judicial or Administrative Proceedings: In response to a court order, subpoena, or legal process.
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Law Enforcement: For identifying or locating suspects, witnesses, or missing persons.
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Deceased Individuals: To coroners, medical examiners, or funeral directors as necessary.
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Organ and Tissue Donation: For procurement or transplantation purposes.
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Research: With appropriate authorization or review board approval.
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To Avert a Serious Threat: When necessary to prevent a serious threat to health or safety.
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Specialized Government Functions: Including military, national security, or correctional institution activities.
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Workers’ Compensation: To comply with workers’ compensation laws.
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Disaster Relief: To assist in disaster response efforts.
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Business Associates: To third-party service providers who perform functions on our behalf under confidentiality agreements.
Other Uses and Disclosures
We may contact you for:
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Refill Reminders for prescriptions.
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Treatment Alternatives or information about health-related products or services.
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Health-related benefits or Services available through our pharmacy.
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Fundraising Activities (if applicable). Only limited demographic information may be used, and you may opt out of receiving fundraising communications.
All Other Uses Require Authorization
For any other use or disclosure of your PHI not described in this Notice, we will obtain your written authorization. You may revoke that authorization at any time in writing.
Your Rights Regarding Your PHI
You have the following rights concerning your health information:
1. Request Restrictions
You may request restrictions on how we use or disclose your PHI. While we are not required to agree to all requests, we will accommodate reasonable ones.
2. Request Confidential Communications
You may request that we contact you at a specific address or phone number. We will honor reasonable requests to protect your privacy.
3. Access and Copies
You may inspect and request copies of your PHI maintained by the pharmacy. A reasonable fee may apply for copying or mailing records.
4. Request an Amendment
If you believe your PHI is incorrect or incomplete, you may request an amendment. We may deny requests under certain circumstances, but you have the right to appeal or have your disagreement noted.
5. Accounting of Disclosures
You may request a record of certain disclosures made by the pharmacy, excluding those made for treatment, payment, or healthcare operations.
6. Request a Paper Copy
You may request an additional paper copy of this Notice at any time, even if you previously received it electronically.
Revisions to This Notice
Healthcare Pharmacy reserves the right to revise this Notice of Privacy Practices and make the new version effective for all PHI maintained by the pharmacy. Updates will be posted in our pharmacy and made available upon request.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with:
Healthcare Pharmacy Privacy Officer
14642 Newport Avenue
Tustin, CA 92780
Phone: (714) 669-4000
Or with:
U.S. Department of Health and Human Services
Office of the Inspector General
200 Independence Ave SW
Washington, DC 20201
You will not face retaliation or adverse action for filing a complaint.
Contact Information
For questions or clarification regarding this Notice or your privacy rights, please contact:
Healthcare Pharmacy
14642 Newport Avenue
Tustin, CA 92780
Phone: (714) 669-4000