SUMMARY OF NOTICE OF PRIVACY PRACTICES

Beginning April 14, 2003 , we are required by federal law to provide our patients with a NOTICE OF PRIVACY PRACTICES for Grant County Drugs.

The GRANT COUNTY DRUGS NOTICE OF PRIVACY PRACTICES describes how medical information about you may be used and disclosed and how you can get access to this information.

You should review the NOTICE OF PRIVACY PRACTICES.

This is a brief summary to assist your understanding of our policies. 

A.        USE OR DISCLOSURE OF YOUR INFORMATION.

1. Your personal health information is provided to us to be used in providing you with pharmaceutical and other health care.

2. We use and disclose your information without additional consent or authorization for the following purposes:

1. to provide treatment to you;

2. to obtain payment for services provided to you;

3. for the efficient operations of our pharmacy or other entity; and

4. to contact you regarding alternative treatments, health related benefits or services.

3. Unless you specifically object in writing, we also may disclose information to the following without additional consent or authorization:

1. Your family members;

2. Friend or other person involved in your care or who helps pay for your care;

3. Person picking your prescription at your request.

4. We also may disclose or use your information without additional consent or authorization, when required or permitted by law to do so.

5. Except for the above, any release of your protected health information will require your written authorization.

B.                 YOUR RIGHTS

1.      You have the right to request restrictions on how we use or disclose your protected health information.  We are not required to agree to your restriction request.

2.      You have the right to inspect and copy your medical and billing records.

3.      You have the right to amend or correct your health information.

4.      You have the right to request confidential communication of your health information.

5.      You have the right to request an accounting of disclosures of your protected health information.

6.      You have a right to obtain a paper copy of our NOTICE OF PRIVACY PRACTICES.

These and other policies, practices and your rights are explained more fully in our NOTICE OF PRIVACY PRACTICES.  You should review it fully.  We will be happy to respond to any questions or concerns you have regarding this NOTICE.

  We are required by law to request that you acknowledge receipt of our NOTICE in writing.

THANK YOU.