Notice of Privacy Practices
Effective date: March 30, 2017
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 Responsibilities
At Bartell Drugs, we value our relationship with every patient and know that respect for your privacy is an important part of that relationship. We are committed to protecting the privacy of your protected health information.
Protected health information (PHI) is any information about you that we create or collect that relates to your past, present or future health care or payment for your care. PHI is information that identifies you or it is reasonable to believe that it can be used to identify you. In this notice, we will refer to PHI as your health information.
- We are required by state and federal law to maintain the privacy and security of your health information.
- We will let you know promptly if a breach occurs that may have compromised the privacy or security of your health 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.
Your Rights
When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you. | |
Get an electronic or paper copy of your medical record |
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Ask us to correct your medical record |
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Request confidential communications |
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Ask us to limit what we use or share |
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Get a list of those with whom we have shared information |
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Get a copy of this privacy notice |
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Choose someone to act for you |
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File a complaint if you feel your rights are violated |
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Access to a Minor’s Health Information
Before responding to a request regarding health records of another, we generally require written authorization from the patient. Parents may exercise rights related to health records on behalf of their minor children, except in certain circumstances. In accordance with applicable law, only a minor may exercise their rights regarding health records that are related to care for which the minor patient can legally consent without parental involvement and has consented. In Washington, a minor of any age may consent to reproductive care; a minor who is thirteen years of age or older may consent to mental health or substance abuse treatment, and a minor who fourteen years of age or older may consent to diagnosis and treatment related to sexually transmitted disease.
Your Choices
For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.
In these cases, you have both the right and choice to tell us to: |
If you are not able to tell us your preference, for example if you are unconscious, we may share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety. |
In this case, you have the right and choice to opt out: |
We may send you fundraising communications for a related foundation or charitable organization. You have the right to tell us not to contact you for this purpose. |
In these cases we never share your information unless you give us written permission: |
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Our Uses and Disclosures
How do we typically use or share your health information? We keep records of your health information, including prescriptions and typically use or share your health information in the following ways. | |||
Treat you |
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Example: We may use and disclose your health information in dispensing prescription medicines and related products and services, including counseling you and your caregivers, friends or family involved in your care about proper use of your medications. |
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Run our company |
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Example: We use health information about you to manage your treatment and coordinate dispensing of your medication. |
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Bill for prescriptions and services |
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Example: We give information about you to your health insurance plan so it will pay for your prescriptions, including Medicare and Medicaid if you receive these benefits. |
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How else can we use or share your health information? |
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We can share health information about you for certain situations such as:
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Do research |
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Comply with the law |
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Respond to organ and tissue donation requests |
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Work with a medical examiner or funeral director |
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Address workers’ compensation, law enforcement, and other government requests |
We can use or share health information about you:
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Respond to lawsuits and legal actions |
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Work with business associates |
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If a use or disclosure of your health information is not described in this Notice or otherwise permitted or required by law, we will obtain your written authorization before using or disclosing your information. You have the right to refuse to authorize use or disclosure. If you grant the authorization, you may revoke the authorization at any time by letting us know in writing.
Changes to the Terms of This Notice
We may change the terms of this notice, and changes will apply to all health information we have about you. The new notice will be available on request in our pharmacies, and on our web site at www.bartelldrugs.com.
Contact
If you have questions about this notice, need more information about your privacy rights, or would like to file a complaint about our privacy practices, please contact the Privacy Officer at Bartell Drugs, 4025 Delridge Way SW, Seattle WA 98106, phone 206-767-1345, fax 206-762-3764, or email privacy@bartelldrugs.com.