As part of the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA), Prunella Pharmacy has created this Notice of Privacy Practices (Notice). This Notice describes the pharmacy's privacy practices and the rights you have as they relate to the privacy of your Protected Health Information (PHI). Your PHI is information about you, or that could identify you, related to your past, present, or future physical and mental health care services. HIPAA requires us to protect the privacy of your PHI that we receive or create. Prunella Pharmacy will follow the terms described in this Notice. For any uses or disclosures not listed below, we will obtain written authorization from you, which you may revoke at any time. We may revise this Notice at any time, and any updates will be posted in the pharmacy and available in paper form upon request. HOW WE MAY USE AND DISCLOSE YOUR PHI - Treatment: We use PHI to fill your prescriptions, compound custom medications, and coordinate your care with your doctors or other healthcare providers. - Payment: We disclose PHI to obtain payment or reimbursement from insurance plans or to provide cash pricing information. - Health Care Operations: We use PHI to improve quality of care, ensure safety, and evaluate pharmacy services. OTHER PERMITTED USES AND DISCLOSURES WITHOUT WRITTEN AUTHORIZATION - As required by law - Public health activities - Victims of abuse, neglect, or domestic violence - Health oversight activities - Judicial and administrative proceedings - Law enforcement purposes - Decedents - Organ, eye, or tissue donation - Approved research - To prevent a serious threat to health or safety - Specialized government functions - Workers’ compensation - Disaster relief - Business associates OTHER COMMUNICATIONS We may contact you for refill reminders, information about treatment alternatives, health-related services, or benefits. You may opt out of fundraising communications if applicable. OTHER USES AND DISCLOSURES For all other uses and disclosures of PHI, we will obtain your written authorization. You may revoke this authorization in writing at any time. YOUR HEALTH INFORMATION RIGHTS - Request limits on certain uses and disclosures - Ask us to contact you at an alternate address or phone number - Inspect or request copies of your PHI - Request corrections to your PHI - Receive a list of certain disclosures - Request a paper copy of this Notice at any time REVISIONS TO THIS NOTICE We reserve the right to change and update this Notice. A revised Notice will apply to all PHI we have, including PHI collected before the effective date. Copies will always be available at the pharmacy. COMPLAINTS If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer or with the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint. CONTACT INFORMATION Privacy Officer Prunella Pharmacy 17135 W Capitol Dr, Ste 110 Brookfield, WI 53005 Phone: (262) 777-6911 Email: info@prunellapharmacy.com