HIPAA Notice of Privacy Practices

Last updated: [DATE]

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.

Our Commitment

We are committed to protecting the privacy of your protected health information ("PHI") in accordance with the Health Insurance Portability and Accountability Act (HIPAA) and applicable state law.

How We May Use and Disclose PHI

• Treatment: to coordinate with your prescribing provider and dispensing pharmacy.
• Payment: to process orders and billing related to your care.
• Operations: to support quality, security, and administration of the Portal.
• As required by law: when disclosure is required or permitted by law.

Your Rights

• The right to access and request a copy of your PHI.
• The right to request corrections to your PHI.
• The right to request restrictions on certain uses and disclosures.
• The right to request confidential communications.
• The right to an accounting of certain disclosures.
• The right to a paper copy of this Notice.

Our Responsibilities

We are required by law to maintain the privacy of PHI, provide this Notice of our legal duties and privacy practices, and notify affected individuals following a breach of unsecured PHI.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with us at [PRIVACY EMAIL] or with the U.S. Department of Health and Human Services. You will not be retaliated against for filing a complaint.

Contact

To exercise your rights or ask questions about this Notice, contact our Privacy Officer at [PRIVACY EMAIL] or [MAILING ADDRESS].