Pharmacy Practice Associates, PA
Notice of Privacy Practices for Protected Health Information


Effective Date : 01/01/2008

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!

The practice is permitted by federal privacy laws to make uses and disclosures of your health information for purposes of treatment, payment, and health care operations. Protected health information is the information we create and obtain in providing our services to you. Such information may include documenting your subjective information, symptoms, and test results, treatment recommendations, and applying for future care or treatment. It also includes billing documents for those services.

Examples of Uses of Your Health Information for Treatment Purposes are:
Examples of Uses of Your Health Information for Appointment Reminders are:

Example of Use of Your Health Information for Payment Purposes:
We may submit requests for payment to your health insurance company. The health insurance company (or other business associate helping us obtain payment) requests information from us regarding medical care given. We will provide information to them about you and the care given.

Example of Use of Your Information for Health Care Operations:
We obtain services from our insurers or other business associates such as quality assessment, quality improvement, outcome evaluation, protocol and clinical guideline development, training programs, credentialing, medical review, legal services, and insurance. We will share information about you with such insurers or other business associates as necessary to obtain these services.

Your Health Information Rights
The health and billing records we maintain are the physical property of the clinic. The information in it, however, belongs to you. You have a right to: If your request is denied, you will be informed of the reason for the denial and will have an opportunity to submit a statement of disagreement to be maintained with your records;

If you want to exercise any of the above rights, please contact our PRIVACY OFFICER, 4095 State Rd 7, Suite L-208, Wellington, Fl. 33467 or (561) 601-5002 in person or in writing, during regular, business hours. [S]he will inform you of the steps that need to be taken to exercise your rights.

Our Responsibilities

The clinic is required to:
We reserve the right to amend, change, or eliminate provisions in our privacy practices and access practices and to enact new provisions regarding the protected health information we maintain. If our information practices change, we will amend our Notice. You are entitled to receive a revised copy of the Notice by calling and requesting a copy of our "Notice" or by visiting our office and picking up a copy.

To Request Information or File a Complaint

If you have questions, would like additional information, or want to report a problem regarding the handling of your information, you may contact our PRIVACY DIRECTOR at (561) 601-5002.
Additionally, if you believe your privacy rights have been violated, you may file a written complaint at our office by delivering the written complaint to the PRIVACY DIRECTOR. You may also file a complaint by mailing it or e-mailing it to the Secretary of Health and Human Services, whose street address and e-mail address is: Office for Civil Rights - U.S. Department of Health and Human Services - 200 Independence Avenue S.W. - Room 509F, HHH Building - Washington, D.C. 20201.

Other Disclosures and Uses

Communication with Family
Disaster Relief
Organ Procurement Organizations
Food and Drug Administration (FDA)
Workers Compensation
Public Health
Abuse & Neglect
Correctional Institutions
Law Enforcement
Health Oversight
Judicial/Administrative Proceedings
Serious Threat
For Specialized Governmental Functions
Coroners, Medical Examiners, and Funeral Directors
Other Uses