Switch to
(:)
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
HIPAA Privacy Statement
(407) 828-8125
OPEN 8am to 7pm 365 DAYS A YEAR