Salhab Pharmacy HIPAA Notice of Privacy Practices

Effective Date: [07/09/2024]

Your Information. Your Rights. Our Responsibilities.

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.

For a complete version of this notice, please visit our website at www.salhabpharmacy.com. If you would like a paper copy of our full disclosure, please contact us at (813) 395-5667 and we will provide it to you promptly.

Your Rights

You have the right to:

• Access: Get a copy of your paper or electronic medical record.
• Amend: Correct your paper or electronic medical record.
• Confidential Communications: Request confidential communication.
• Restrict: Ask us to limit the information we share.
• Accounting: Get a list of those with whom we’ve shared your information.
• Notice: Get a copy of this privacy notice.
• Representative: Choose someone to act for you.
• Complain: File a complaint if you believe your privacy rights have been violated.

Your Choices

You have some choices in the way that we use and share information as we:

• Inform family and friends about your condition.
• Provide disaster relief.
• Include you in a hospital directory.
• Provide mental health care.
• Market our services and sell your information.
• Raise funds.

Our Uses and Disclosures

We may use and share your information as we:

• Treat You: Share your health information with other professionals who are treating you.
• Operate: Use and share your health information to run our organization and improve your care.
• Bill: Use and share your health information to bill and get payment for services.
• Public Health and Safety: Help with public health and safety issues.
• Research: Conduct research.
• Legal Compliance: Comply with the law.
• Organ Donation: Respond to organ and tissue donation requests.
• Post-Mortem: Work with a medical examiner or funeral director.
• Workers’ Compensation: Address workers’ compensation, law enforcement, and other government requests.
• Legal Actions: Respond to lawsuits and legal actions.

Additional Rights

You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say “no” if it would affect your care. If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information with your health insurer for payment or operations purposes. We will say “yes” unless a law requires us to share that information.

Accounting of Disclosures

You can ask for a list (accounting) of the times we’ve shared your health information for six years prior to the date you ask, who we shared it with, and why.

Get a Copy of This Privacy Notice

You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.

File a Complaint

If you feel your rights are violated, you can file a complaint with us by contacting:

Privacy Officer
Salhab Pharmacy
12643 N. 56th Street
Temple Terrace, FL 33617
(813) 395-5667

You can also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/. We will not retaliate against you for filing a complaint.

How We Typically Use or Share Your Health Information

We typically use or share your health information in the following ways:

• Treat You: We can use your health information and share it with other professionals who are treating you.
  Example: A doctor treating you for an injury asks another doctor about your overall health condition.
• Run Our Organization: We can use and share your health information to run our practice, improve your care, and contact you when necessary.
  Example: We use health information about you to manage your treatment and services.
• Bill for Your Services: We can use and share your health information to bill and get payment from health plans or other entities.
  Example: We give information about you to your health insurance plan so it will pay for your services.

Other Uses and Disclosures

We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information, see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html.

Our Responsibilities

• We are required by law to maintain the privacy and security of your protected health information.
• We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
• We must follow the duties and privacy practices described in this notice and give you a copy of it.
• We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.

For more information, see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.

Changes to the Terms of This Notice

We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our website.

If you need any additional information about this notice or wish to exercise any of your rights set forth in this notice, please contact our Privacy Officer at the address listed above.