SeattleMeds
NOTICE
OF PRIVACY PRACTICES
We at SeattleMeds value the trust you place in us and we know that respect for your privacy
is the foundation for that trust. We are absolutely committed to meeting our legal obligations to safeguard the privacy
of your protected health information. This is your Notice of Privacy Practices from SeattleMeds
which describes how we may use and disclose your protected health information in order to carry out treatment, payment
and health care operations and for other specified purposes that are required or permitted by law. We are required by
the Health Insurance Portability and Accountability Act of 1996 ("HIPAA") to provide this notice. Please
review it carefully. Protected health information or "PHI" is defined as the information we
must collect about you in order to deliver and receive payment for our products and services which include basic demographic
information that will personally identify you and that relates to your past, present or future physical or mental health or
condition and related health care services. This notice also describes your rights regarding the use and disclosures
we must make regarding your PHI.
We are also required by HIPAA to maintain the privacy of your PHI and abide
by the terms of this notice. The remainder of this notice serves as a description of how we may disclose your PHI in
order to provide you with our services and how we must abide by our legal obligations to protect the privacy of your
PHI.
Use and Disclosure of Protected Health Information Without Your Authorization
The following categories are examples
of different ways that SeattleMeds may use and disclose your protected health information without
getting a special form of written permission from you called an “authorization” under the HIPAA Privacy Rules.
This information provides examples of certain ways we might disclose your PHI, however there may be instances in which
we may disclose your PHI which are not listed. These reasons will always be in compliance with the rules
and regulations set forth by HIPAA.
Treatment: We
will use and disclose your protected health information in order to provide you with the medications we dispense to you and
the corresponding services we perform for you. For example, our pharmacists and pharmacy staff will use your PHI to dispense
prescription medications to you. As a result, we will create and maintain a record of all prescriptions dispensed to you by
SeattleMeds and the corresponding services we deliver.
Payment: We may use and disclose your PHI as needed in
order to obtain payment for the products and services we provide to you. For example, in order to receive payment from
your insurance provider, we must disclose certain PHI to your insurer or their agent in order to obtain payment
for your prescription and to determine the amount of your co-payment or co-insurance. In all cases, we will disclose only
the minimal information required by the insurer to receive payment for prescriptions and corresponding services we provide
to you.
For Health Care Operations: We
may use or disclose your PHI to allow us to perform our business operations and to prove the quality of the care we provide
to our customers. For example, within our organization, we may use your PHI to conduct quality improvement activities or other
activities to make sure that you receive quality customer service.
As Required by Law:
We may disclose your PHI to the extent that disclosure is required by federal, state, or local law. The use or disclosure
will be made only in compliance with the law and information provided will be limited only to the minimum necessary to meet
the requirements of the law. Unless authorized by you, we will not disclose your health care information,
except if the recipient needs to know the information and the disclosure is: to a person who the pharmacist reasonably believes
is providing health care to you; to any other health care provider reasonably believed to have previously provided health
care to you, to the extent necessary to provide health care to you, unless you have instructed the SeattleMeds
Privacy Officer in writing not to make the disclosure.
Sexually Transmitted Diseases. We will not disclose any information regarding your treatment for
a sexually transmitted disease, except in situations where the subject of the information has provided us with a written authorization
allowing the release or where we are authorized or required by state or federal law to make the disclosure.
Public Health: We may disclose your PHI to public
health or other legal authorities as permitted by law for the purpose of preventing or controlling a communicable disease,
injury, or disability.
Food and Drug Administration:
We may disclose your protected health information to a person or company required by the Food and Drug Administration (FDA)
to report adverse events, product defects, to enable product recalls, to make repairs, or to conduct post marketing surveillance,
as required.
Health Oversight Activities: We may disclose your protected health information to a health oversight
agency such as the Washington State Board of Pharmacy, or the Drug Enforcement Administration for such proceedings as audits,
investigations, proceedings, or other activities necessary for appropriate oversight as authorized or required by law.
Judicial and Administrative Proceedings:
We may disclose your PHI in response to a court order or in response to a subpoena, discovery request, or other lawful process
during a judicial or administrative proceeding.
To Avert a Serious Threat to Health or Safety: We may
use and disclose protected health information about you when necessary to prevent a serious threat to your health and safety
or the health and safety of the public or another person.
To Coroners, Funeral Directors,
and for Organ Donation:
We may disclose your protected health information to a coroner or medical examiner for identification purposes, to determine
cause of death, or for the coroner or medical examiner to perform other duties authorized by law.
Research: We
may use and disclose your PHI for medical research purposes when the research protocol in question has been approved by an
appropriate review board and includes measures to ensure the privacy of your PHI.
Military
and Veterans: If
you are a member of the armed forces, we may PHI as required by military command authorities. We may also
disclose PHI about foreign military personnel to appropriate military authorities.
National
Security and Intelligence Activities:
We may disclose PHI to authorized federal officials for the purpose of conducting intelligence operations, counterintelligence
operations, protection of the President, and other national security activities authorized by law.
Correctional Institution:
If you are incarcerated or become an inmate of a correctional institution or are in the custody of law enforcement, we may
disclose your PHI to the law enforcement official responsible for your providing health care services, maintaining your health
and safety, or maintaining the health and safety of others while you are in the custody of law enforcement or a correctional
institution.
Workers’ Compensation: Your protected health information may be disclosed by us as authorized
to comply with workers’ compensation laws and other similar programs established by law.
Victims of Abuse, Neglect, or Domestic Violence:
We may disclose protected health information about you to a government authority, such as a social service or protective services
agency, if we reasonably believe you are a victim of abuse, neglect, or domestic violence.
Refill and Appointment Reminders; Health Related Benefits and Services: We may contact you to provide refill or appointment reminders or
information about treatment alternatives or other health-related benefits and services that may be of interest to you.
Disclosures to You or for HIPAA Compliance Investigations: We may disclose your protected health information to you or to your personal representative
and we are required to disclose your protected health information in certain circumstances described below in connection with
your rights of access to your protected health information and to an accounting of certain disclosures of your protected health
information. We must also disclose your protected health information to the Secretary of the United States Department
of Health and Human Services when requested by the Secretary in order to investigate our compliance with the privacy regulations
issued under the Health Insurance Portability and Accountability Act of 1996.
Other Uses and Disclosures
That May Be Made Without Your Authorization
We
also may use and disclose your protected health information in the three instances set forth below without getting your authorization
under the HIPAA Privacy Rules, although you may in certain circumstances have the opportunity to agree or object to these
uses and disclosures. If you are not present or able to agree or object to the use or disclosure of the protected health
information, then we may, using our professional judgment, determine whether the disclosure is in your best interest.
Others Involved in Your Healthcare: We
may disclose to a member of your family, a relative, a close friend or any other person you identify, your protected health
information directly related to that person’s involvement in your care or payment related to your care.
Notification:
We may use or disclose protected health information about you to notify or assist in notifying a family member, personal representative,
or another person responsible for your care, your location, general condition or death.
Disaster Relief: We
may use or disclose your protected health information to an authorized public or private entity to assist in disaster relief
efforts. You may have the opportunity to object unless we determine that to do so would impede our ability to respond to emergency
circumstances.
Uses and Disclosures of Protected Health Information With
Your Authorization
Other
uses and disclosures of your protected health information will be made only with your written authorization as required under
the HIPAA Privacy Rules, unless otherwise permitted or required by law as described above. You may revoke this authorization
in writing at any time except to the extent that we have taken an action in reliance on the authorization.
Your
Health Information Rights
You
have the following rights with respect to protected health information about you:
Obtain
a Paper Copy of the Notice Upon Request.
You have the right top request a copy of the most current version of this notice from us at any
time, even if you have agreed to receive it electronically. To obtain a paper copy of this notice, contact our privacy
officer at 206-382-2087 or e-mail us at privacy@seattlemeds.com.
Right to Request a Restriction on Certain Uses and Disclosures
of Protected Health Information. You may request additional restrictions
be placed on your PHI by sending a written request to the Privacy Officer. We will give your request proper
consideration, but we are not required to agree to those restrictions. Additionally, we cannot agree to
any restrictions on disclosures of PHI that are legally required. To request a special restriction, you must make your
request in writing to our privacy officer or e-mail us at privacy@seattlemeds.com.
Right to Inspect and Copy your Protected Health Information. You
have the right to obtain and inspect a copy of your PHI for as long as we maintain the protected health information. The PHI
will include prescription and billing records and any other records we use for making decisions about your healthcare. To
inspect or copy your protected health information, you must send a written request to our privacy officer or e-mail us at
privacy@seattlemeds.com. We may charge you a fee for the costs of copying, mailing, or other supplies that are necessary to grant your request.
Request an Amendment of Protected Health Information. If you feel that your PHI is incomplete or incorrect, you may request an amendment
of that information. To request an amendment, you must send a written request to our privacy officer or
e-mail us at privacy@seattlemeds.com. In addition, you must include a reason that supports your request. We may deny your request for amendment if it is not in
writing or does not include a reason that supports the request. If we deny your request for amendment, you have the right
to file a statement of disagreement with the decision and we may prepare a rebuttal to your statement and we will provide
you with any such rebuttal.
Receive an Accounting of Disclosures of Protected Health
Information. You
have the right to receive an accounting of disclosures we have made of your PHI since April 14, 2003. This list will
not include many types of disclosures, including those made for treatment, payment, or health care operations; disclosures
we have made directly to you or your personal representative; disclosures to friends or family members involved in your care;
disclosures for notification purposes; and disclosures made with your authorization. To request an accounting, you must submit
your request in writing to our privacy officer or e-mail us at privacy@seattlemeds.com.
Request Confidential Communications of Protected Health Information. You have the right to request that
we communicate with you about PHI in a certain way. For example, you can ask that we only contact you at work or by mail.
To request confidential communication of protected health information you must submit your request in writing to our privacy
officer or e-mail us at privacy@seattlemeds.com. Your request must state how or when you would like to be contacted. We will accommodate all reasonable requests.
Right to file a Complaint.
If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department
of Health and Human Services. To file a complaint with us, please contact SeattleMeds, 801 Broadway,
Suite 100 Seattle, Washington 98122, Attention: SeattleMeds Privacy
Officer. All complaints must be submitted in writing. You will not be penalized for filing a complaint.
If you have questions as how to file a complaint please e-mail us at privacy@seattlemeds.com.
For More Information or to Report a Problem
If you have questions or would like
additional information about our privacy practices, you may contact the SeattleMeds Privacy Officer
at 206-382-2087 or privacy@seattlemeds.com.