Notice of privacy practices
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.
Draft for review. This text was prepared as a starting point and must be reviewed by the pharmacy's attorney and privacy officer before launch.
Our commitment
Pure Health Compounding, LLC is required by law to keep your protected health information private, to give you this notice of our legal duties and privacy practices, and to follow the notice currently in effect.
How we may use and disclose your information
- Treatment. To prepare and dispense your medication and to communicate with your prescriber.
- Payment. To bill you or your insurer for medications and services.
- Health care operations. To run the pharmacy, including quality review and staff training.
- As required by law. Including reporting to the state board of pharmacy, prescription monitoring programs and public health authorities.
- With your written authorization. For any other purpose. You may revoke an authorization in writing at any time.
Your rights
- Inspect and get a copy of your records
- Request a correction
- Request restrictions on certain uses and disclosures
- Request confidential communications by a particular method or location
- Receive a list of certain disclosures we have made
- Receive a paper copy of this notice
- Be notified if a breach of your unsecured information occurs
Complaints
If you believe your privacy rights have been violated, you may file a complaint with the pharmacy's privacy officer at 343 Godshall Dr, Ste 500, Harleysville, PA 19438 or with the Secretary of the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.
Contact
Privacy officer, Pure Health Compounding, LLC, 343 Godshall Dr, Ste 500, Harleysville, PA 19438.