Sempert’s Drug will not share your Protected Health Information Without your written Authorization. By law, every Pharmacy is required to maintain the privacy of “Protected Health Information” (“PHI”), in addition to providing the individuals with notice of theses legal duties and practices of privacy with respect to PHI. PHI is the information that may identify and individual and relates their past, present and future health (mental or physical) or condition and associated health care services to them. This “Notice of Privacy Practices” (Notice:) explains how a pharmacy may use and disclose your PHI to carry out health care operation, treatment or payment and for other pre-determined purposes that are permitted or required by law. This notice also explains the rights of an individual with respect to the PHI about them. Each Pharmacy is held accountable to abide by the terms of the notice. We, the Pharmacy, will NOT disclose or use your PHI without your written authorization, except as stated in this Notice. However, we reserve the right to change our practices along with the Notice and in turn make the Notice effective for all obtained PHI. Upon request, we will make the revised Notice available to all interested parties. Individual Health Information rights With respect to your PHI, you have the following rights: Upon request, to obtain a paper copy of the Notice. At any point in time, you have the right to request a copy of the Notice, even if you previously agreed to receive an electronic version. Please contact Sempert’s Drug to acquire a paper copy. To request guidelines on certain uses and disclosures of your PHI. Additional restrictions may Be requested by an individual on the use of the disclosure of your PHI by submitting a written request to Sempert’s Drug. The Pharmacy is not required to agree with those limitations. To attain and inspect a copy of the PHI. As long as the Pharmacy maintains the PHI. Individuals have The right to access and copy their PHI contained in the designated record set. Prescriptions and billing information is normally included in a designated record set. Please send a written request to Sempert’s Drug to inspect or copy your PHI. Fees may be applied to cover the costs of supplies. Copying and mailing necessary for fulfilling a request. In certain limited case, requests for copies or Inspection of PHI may be denied. In such cases, review of the denial may be requested. To request an amendment of PHI. If an individual feels that their PHI maintained by the Pharmacy is inaccurate in any way, they may request it to be amended. An amendment may be requested as long as the Pharmacy maintains the PHI. Please submit a written request to Sempert’s Drug to request an amendment. Reasoning for the request must be included to support the request. In isolated cases, the request for an amendment may be denied. In such cases, a disagreement with the statement may be filed and may result in a rebuttal to the statement. To receive an accounting of disclosures of PHI. After April 14th 2003 individuals have the right to receive an accounting of their PHI covering most disclosures above and beyond treatment, health care operations and payment. Disclosures made direct to the individual or those involved with their health care, authorized by the individual, or for the purpose of notification will be excluded. Certain other exceptions, limitations or restrictions may apply. Please submit a written request for the PHI accounting to Sempert’s Drug. A specific time period, of no more than six years, must be included. The initial Request for an accounting, within a 12 month frame, will be provided at no charge. Additional Accountings will have associated fees. Individuals requesting an accounting will be notified in advance Of the charges and will have the option to modify or cancel their request. To request communications of PHI by alternative locations. An individual may request a written response About their medical details or that it be sent to an alternative address. Please submit a written request to receive a confidential PHI communication to Sempert’s Drug Manager. Please include how and where to be contacted. All reasonable requests will be accommodated.