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CELEBRATION, FL  34747       (407)828-8125
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.
Your Rights
You have the right to:
  Get a copy of your paper or electronic medical record
  Correct your paper or electronic medical record
  Request confidential communication
  Ask us to limit the information we share
  Get a list of those with whom we have shared your information
  Get a copy of this privacy notice
  Choose someone to act for you
  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:
  Tell family and friends about your condition
  Provide disaster relief
  Include you in a hospital directory
  Market our services and sell your information
Our Uses and Disclosures
We may use and share your information as we:
  Treat you
  Run our organization
  Bill for your services
  Help with public safety and health issues
  Comply with the law
  Address worker’s compensation, law inforcement and other government request
  Respond to lawsuits and other legal actions
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 records
  You can ask to see or get an electronic or paper copy of your medical record and other health
  Information we have about you.  Ask us how to do this
  We will provide a copy or a summary of your health information, usually within 30 days of your
  Request.  We may charge a reasonable, cost based fee.
Ask us to correct your medical record
  You can ask us to correct health information about you that you think is incorrect or incomplete.
  We may say no to your request,  but we will tell you why in writing within 60 days.
Request confidential communication
  You can ask us to contact you in a specific way, or to send mail to a different address.
  We will say “yes” to all reasonable request.
Ask us to limit what we use or share
  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 for the purpose of payment or our operations with your health insurer.  We wil say
  “yes”  unless a law requires us to share that information.
Get a list of those with whom we’ve shared information
  You can ask for a list of the times we’ve shared your health information for 6 years prior to the
  Date you ask who we shared it with, and why.
  We will include all of the disclosures except for those about treatment, payment and health care
  Operations, and certain other disclosures.  We’ll provide one accounting a year for free, but will
  Charge a reasonable, cost based fee if you ask for another one within 12 months.
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,
  If you have given someone medical power of attorney or if someone is your legal guartian, that
  Person can exercise your rights and make choices about your health information
  We will make sure the person has this authority and can act         for you before we take any action.
File a complaint if you feel your rights are violated
  You can complain if you feel we have violated your rights by contacting us using the information on page 1.
Choose someone to act for you
  You can 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., Washingaton DC, 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/
Your Choices
  For certain healt information, you can tell us your choice about what we share.  If you have a clear
  Preference for how we share your information in the situation described below, talk to us.  Tell us
  What you want us to do, and we will follow your instructions.
  In these cases, you have the right and choice to tell us to:
          Share information with your family, close friends, or others involved in your care.
          Share information in a disaster relief situation.                
  If you are not able to tell us your preference, for example you are unconscious, we may go ahead
  And 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 safety.
In these cases, we never share your information unless you give us written permission.\:
  Marketing purposes
  Sale of your information
  Most sharing of psychothapy notes
Other uses and Disclosures
  We typically use or share your health information in the following ways.
  We can use your health information and share it with other health professionals who are treating you
  We can use and share your health information to run our practice, improve your care, and contact you
  When  necessary
  We can use and share your health information to bill and get payment from health plans and other entities.
How else can we use or share your health information?
  We can use and share health information about you for certain situations, such as:
          Preventing disease
          Helping with product recalls
          Reporting adverse reactions to medications
          Reporting suspected abuse,  neglect or domestic violence.
          Preventing or reducing a serious threat to anyone’s health or safety
Comply with the law
  We will share information you if state or federal law requires it. Including the Department of health and
  Human Services if it wants to see if we are complying with federal privacy laws
  We can share health information with a coroner, medical examiner or funeral director when an
  Individual dies.
  We can share health information about you
          For worker’s compensation claims
          For law enforcement purposes or with a law enforcement official
          With health oversite agencies for activities authorized by law.
          For special government functions, such as military, national security, and presidential protective
          In response to a court or administrative order, or in response to a subpoena.
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.
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 on request, in our office or on the website.

Effective date of this notice: 07/20/2016
Kevin Lynch, privacy official.  (407) 828-8125   Email:pharmacist@turnerdrug.com
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