This Notice describes how medical information about you may be used and disclosed and how you can access this information.

Our Responsibilities

We are required by law to:

• Maintain the privacy of your Protected Health Information (PHI)

• Provide you with this Notice

• Follow the practices described in this Notice

How We May Use & Share Your PHI

We may use and disclose your health information to:

• Fill prescriptions and provide healthcare services

• Bill insurance and process payments

• Coordinate care with doctors and healthcare providers

• Comply with federal and state laws

Your HIPAA Rights

You have the right to:

• Get a copy of your health records

• Request corrections

• Request confidential communications

• Limit certain disclosures

• Receive a list of disclosures

• File a complaint without fear of retaliation

Complaints

If you believe your privacy rights have been violated, you may contact:

182 Ave Chemists – Privacy Officer
📞 [Phone Number]
📧 [Email Address]

You may also file a complaint with the U.S. Department of Health & Human Services.