This notice describes the privacy practices of Holland-Apotheke.com. This company and its staff have agreed to the terms of this Notice of Privacy Practices.
This privacy notice and the privacy practices explained in this notice notify you of our commitment to protecting private health Info, and permitting patients to exercise their rights concerning health Info. No legal relationship between these medical staff and companies is created or implied for any other purpose.
Your health care Info is your personal Info. We know that Info about your medical history and your health care is private. To process Ordines, we must create certain records which contain Info about your health. These records include questionnaires, profiles, and billing records.
The law requires that we give you written notice of our privacy practices, and requires that we follow the terms of our privacy notice currently in effect. This Notice of Privacy Practices describes our commitment and the commitment of our employees and contractors to the protection and confidentiality of your health Info. This notice also describes your rights concerning your health Info, including your right to inspect and amend your health Info. We are committed to following the law which requires that protected health Info is kept private subject to legal requirements which authorize or require its disclosure in limited circumstances.
How We May Use and Disclose Health Info
Unless we have your written authorization, we will not use and disclose your protected health Info, except under the limited circumstances explained below. We will not disclose protected health Info about you for any other reason without your written authorization. If you give us an authorization permitting us to release protected health Info, you may revoke the authorization in writing, except to the extent we have already disclosed Info pursuant to the authorization.
A. Health Info is Used to Allow Us to Fill Your Ordines. We may use or disclose your protected health Info for the purpose of providing treatment to you through the filling of Ordines and allowing our staff to evaluate whether our Prodottos are appropriate for you. For example, if you request a Prodotto, a licensed physician will evaluate whether you meet the criteria to receive that Prodotto based upon your health Info provided to the physician. The request for that Prodotto, along with Info you have provided concerning your health, will be provided to a licensed pharmacy for the purpose of filling the Ordine.
B. Limited Info is Used to Obtain Payment for Prodotto Ordines. We obtain payment for our services through your credit card company or through a check processing service. The only Info we share with your credit card company or check processing service is your name, billing address and phone number, and credit card number. For customers paying by check, we also provide your checking account number to a check processing service. We do not share any Info with your credit card company or check processing service which discloses the type of Prodotto dispensed to our customers. All personal and credit card Info is submitted using Secure Encryption Technology.
C. Info May Be Used for Health Care Operations. We may use or disclose health care Info for our operations. For example, we may use Info concerning your Ordine to evaluate the quality of care and services our staff is providing to you. Holland-Apotheke.com, affiliated websites, the physicians, and pharmacies involved with your care may also disclose health care Info to each other as necessary to assist them with providing treatment to you, operating their companies, or to obtain payment.
D. ReOrdine Reminders and Info about Treatment Alternatives. We may use health care Info to Contatto you by e-mail for the purpose of reminding you of your ability to obtain reOrdines, or inform you about treatment alternatives or other health related benefits and services that may be of interest to you. Please advice our Privacy Officer by e-mail or U.S. mail at the privacy Contatto address described at the end of this Notice if you do not wish us to Contatto you concerning reOrdine reminders, treatment alternatives, or other health related benefits and services that may be of interest to you.
E. Disclosures as Required by Law. We may use or disclose protected health Info if required to do so by federal, state, or local law. The use or disclosure will be made in compliance with the law, and will be limited to the relevant requirements of the law. For example, we may be required to disclose your health Info in relation to cases of suspected abuse, neglect, domestic violence or certain physical injuries, or to respond to a subpoena, or Ordine of a court or administrative tribunal.
F. Disclosures for Public Health Activities. We may be required to disclose protected health Info for public health activities to a public health authority authorized by law to collect or receive this Info, such as the Food and Drug Administration, for the purpose of preventing or controlling disease, injury, or disability.
G. Disclosures to Coroners and Medical Examiners. We may be required to disclose health Info about patients who have died to coroners and medical examiners so they may carry out their duties, such as determining the cause of death.
H. Disclosures Concerning Organ Donors. If you are an organ donor, we may be asked to disclose Info concerning your health or Prodottos we have dispensed to organ procurement organizations, eye banks, and other similar organizations for the purpose of facilitating organ, eye or tissue donation and transplantation.
I. Disclosures to Avert a Serious Threat to Health. As required by law and standards of ethical conduct, we are permitted to release your health Info to the proper authorities if we believe, in good faith, that such release is necessary to prevent or minimize a serious and imminent threat to your, the public's, or another individual's health or Sicurezza.
J. Disclosures for Health Oversight Activities. We are permitted to disclose your health Info to a health oversight agency for monitoring and oversight activities authorized by law. This might include release of Info to the state agency that licenses pharmacies for the purpose of monitoring or inspecting pharmacies related to that license.
K. Disclosures for Workers Compensation Purposes. We may be required to release protected health Info about you to the extent necessary to follow the laws relating to workers compensation or other similar programs that provide benefits for work related injuries or illness.
L. Disclosures to Business Associates. We may request certain businesses to assist us with our health care operations. In the event it is necessary to disclose protected health Info pertaining to our customers to these business associates, we will enter into written contracts with them requiring that they keep protected health Info private and secure.
Your Rights Pertaining to Your Health Care Info
A. Right to Request Confidential Communications. We intend to communicate with our customers primarily by e-mail at the e-mail address which you provided to us and to ship Ordines to the shipping address you have provided. You have the right to request that we communicate with you in a certain way or at a certain location. For example, you can ask that we only Contatto you by U.S. mail at a private post office box. We will not ask you the reason for your request.
To request we communicate with you to a specific location, or in a particular manner, please obtain our "Request for Communications via Specific Means or at Alternative Locations" form by Contattoing our Privacy Officer as described later in this Notice, and submit the completed form to our Privacy Officer by e-mail or U.S. mail. We will accommodate all reasonable requests.
B. Right to Request Restrictions. You have the right to ask for restrictions on how your health Info is used or to whom your Info is disclosed, even if the restriction affects your treatment, our payment, or health care operation activities. However, we are not required to agree to your requested restriction and, even if we agree to the requested restriction, we are permitted to use your Info without complying with the restriction if necessary to treat you in an emergency situation.
To request a restriction, please obtain our "Request for Restrictions on the Use and Disclosure of Health Info" form by Contattoing our Privacy Officer as described later in this Notice, and submit the completed form to our Privacy Officer by e-mail or U.S. mail.
C. Your Right to Inspect and Obtain a Copy of Your Health Info. You have the right to inspect and obtain a copy of health Info that we maintain about you. This includes Ordine records and billing records. To inspect or request a copy of your health Info, please Contatto and obtain our "Request to Copy or Inspect Records" form from our Privacy Officer as described later in this Notice, and submit the completed form to our Privacy Officer specifying the records you would like to inspect or to have us copy for you. If you request a copy of the records, we may charge a fee for the cost of copying, mailing, or services associated with your request. In certain very limited circumstances, the law provides that we may deny your request to inspect or copy these records. If you are denied access to health Info, you may request that the denial be reviewed by a licensed health care professional chosen by us who did not participate in the original decision to deny your access to review your request and the reasons for the denial.
D. Your Right to Request an Amendment to Your Health Info. If you believe the health Info within your medical record is incorrect, you may ask us to amend the Info. Please submit such requests in writing by e-mail or U.S. mail to our Privacy Officer at the address listed below, and include the requested amendment along with a reason you believe your health Info should be amended. We are not required, however, to honor your request if we did not create the Info you are requesting be amended or if the Info in your record is correct. We will respond to your request in writing within 60 days of the date of receipt of your written request for amendment of your Info, unless we advise you we require an additional 30 days.
E. Right to an Accounting of Disclosures. You have the right to request a list accounting for any disclosures of your protected health Info we have made, except for uses and disclosures for a) treatment, payment, and health care operations, b) disclosures to you, c) disclosures pursuant to your authorization, and d) disclosures for certain other limited reasons specified by law. To request a list of disclosures, please Contatto our Privacy Officer by e-mail or U.S. mail at the address listed below, and obtain our "Request for an Accounting of Disclosures of Protected Health Info" form, and submit the completed form to the Privacy Officer. Your request must state a time period which may not be longer than six years, and may not include dates before April 14, 2003. The first list you request within a 12 month period will be free. For additional lists, we may charge you for the costs of providing the list. We will mail you a list of disclosures within 60 days of your request, unless we advise you we require a period of up to an additional 30 days to comply with your request.
F. Right to a Paper Copy of this Notice. You have the right to obtain a paper copy of this notice at any time. To obtain a paper copy, please request it from our Privacy Officer at the address listed below. You may also view and print a copy of our Notice of Privacy Practices at Holland-Apotheke.com
G. Effective Date. This revised Notice of Privacy Practices is effective on January 1, 2004, and pertains to all protected health Info we maintain.
H. Changes to this Notice. We reserve the right to change this notice, and we may make the revised or changed notice effective for all protected health Info we already have about you as well as any Info we receive in the future. We will post a copy of the current notice on our website. The notice will contain an effective date. In addition, each time you request Prodottos from us, our current Notice of Privacy Practices will be available to you. Our current Notice of Privacy Practices may be viewed on the Holland-Apotheke.com website or this website, and may be obtained by requesting it by telephone, by e-mail, or in writing from our Privacy Officer.
I. Complaints. We are committed to safeguarding your protected health Info. Despite our good faith efforts, questions, concerns, mistakes, and misunderstandings may arise. If you have a concern or believe that we may have violated your privacy rights, we encourage you to bring that to our attention.
You may bring any complaints or concerns regarding your privacy rights to our attention by calling 1-800-409-5388 and requesting to speak with our Privacy Officer or their authorized representative. If you prefer, you may submit a complaint in writing to our Privacy Officer (use the Contatto site). You also may complain to the Secretary of the Department of Health and Human Services or his or her authorized representative if you believe your privacy rights have been violated.
We take all concerns and complaints very seriously and will investigate each one promptly. If we made a mistake, we will do what we can to correct it and take steps to prevent mistakes in the future. Under no circumstances will we retaliate against you for expressing a concern or filing a complaint relating to your privacy rights.
J. Privacy Officer and Privacy Contatto Person. If you have any questions about this notice or wish to exercise any of your privacy rights, please Contatto Holland-Apotheke.com's Privacy Officer, or their authorized representative, by e-mail (see Contatto site).
K. Acknowledgment of Receipt of this Notice. We will request you electronically acknowledge you have received a copy of this notice when you first request we provide services to you by checking a box acknowledging your receipt of this Notice of Privacy Practices. Please check this box only if you have received this Notice.
