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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.

The  Pharmacy is required to maintain the privacy of your Protected Health  Information (“PHI”) and to provide you with a notice of our legal duties  and privacy practices with respect to PHI. PHI is information about  you, including basic demographic information, that may identify you and  that relates to your past, present or future physical or mental health  or condition and related health care services. This Notice of Privacy  Practices ("Notice") describes how we may use and disclose PHI about you  to carry out treatment, payment or health care operations and for other  specified purposes that are permitted or required by law. The Notice  also describes your rights with respect to PHI about you. 

The  Pharmacy is required to follow the terms of this Notice. We will not  use or disclose PHI about you without your written authorization, except  as described in this Notice. We reserve the right to change our  practices and this Notice and to make the new Notice effective for PHI  we maintain. Upon request, we will provide a revised Notice to you. 

You have the following rights with respect to PHI about you: 

· Obtain a paper copy of the Notice upon request. You  may request a copy of the Notice at any time. Even if you have agreed  to receive the Notice electronically, you are still entitled to a paper  copy. To obtain a paper copy, contact the “Privacy Officer” whose name  appears at the end of this notice.

· Request a restriction on certain uses and disclosures of PHI. You  have the right to request additional restrictions on our use or  disclosure of PHI about you by sending a written request to the “Privacy  Officer” whose name appears at the end of this notice. We are not  required to agree to those restrictions. 

· Inspect and obtain a copy of PHI. You  have the right to access and copy PHI about you contained in a  designated record set for as long as the Pharmacy maintains the PHI. The  "designated record set" usually will include prescription and billing  records. To inspect or copy PHI about you, you must send a written  request to the “Privacy Officer” whose name appears at the end of this  notice. We may charge you a fee for the costs of copying, mailing, or  other supplies that are necessary to fulfill your request. We may deny  your request to inspect and copy in certain limited circumstances. If  you are denied access to PHI about you, you may request that the denial  be reviewed. 

· Request an amendment of PHI. If  you feel that PHI we maintain about you is incomplete or incorrect, you  may request that we amend it. You may request an amendment for as long  as we maintain the PHI. To request an amendment, you must send a written  request to the “Privacy Officer” whose name appears at the end of this  notice. You must include a reason that supports your request. In certain  cases, we may deny your request for amendment. If we deny your request  for amendment, you have the right to file a statement of disagreement  with the decision and we give a rebuttal to your statement. 

· Receive an accounting of disclosures of PHI. You  have the right to receive an accounting of the disclosures we have made  of PHI about you after April 14, 2003 for most purposes other than  treatment, payment, or health care operations. The accounting will  exclude certain disclosures, such as disclosures made directly to you,  disclosures you authorize, disclosures to friends or family members  involved in your care, and disclosures for notification purposes. The  right to receive an accounting is subject to certain other exceptions,  restrictions, and limitations. To request an accounting, you must submit  a request in writing to the “Privacy Officer” whose name appears at the  end of this notice. Your request must specify the time period,  but may not be longer than six years. The first accounting you request  within a 12 month period will be provided free of charge, but you may be  charged for the cost of providing additional accountings. We will  notify you of the cost involved and you may choose to withdraw or modify  your request at that time.