HIPAA Notice of Privacy Practices

Effective Date June 1st, 2025

Our Duties

We are required by law to maintain the privacy of your protected health information (PHI). We must provide you with this Notice of our legal duties and privacy practices. We must follow the terms of this Notice as long as it is in effect. We will notify you if a breach of your PHI occurs.

How We May Use and Disclose PHI

For Treatment
To provide, coordinate, or manage your health care and related services.
Example: A physician sends us your prescription, and we use it to dispense medication.
For Payment
To obtain reimbursement for the health care services we provide to you.
Example: We share information with your insurance company to receive payment for your prescriptions.
For Health Care Operations
For business operations necessary to run our pharmacy and ensure quality care.
Example: Reviewing prescriptions to ensure appropriate medication use.
Other Permitted Uses and Disclosures
Public Health and Safety: Reporting adverse drug events, preventing disease spread.
Health Oversight: Audits, inspections, licensure.
Law Enforcement and Legal Requirements: Responding to court orders, subpoenas, or other lawful processes.
Research: Limited PHI may be disclosed for research purposes when approved.
To You: We may provide your PHI directly to you, or to someone with your written authorization.

Uses and Disclosures Requiring Authorization

Certain uses and disclosures require your written authorization:

Most uses/disclosures of psychotherapy notes.
Uses/disclosures of PHI for marketing purposes.
Sale of your PHI.

If you authorize use or disclosure, you may revoke it at any time in writing.

Your Rights Regarding Your PHI

Right to Access
- You may inspect and obtain a copy of your health information.
Right to Amend
- You may request corrections to your PHI if you believe it is incorrect or incomplete.
Right to an Accounting of Disclosures
- You may request a list of certain disclosures we have made of your PHI.
Right to Request Restrictions
- You may request that we limit the use or disclosure of your PHI. We are not required to agree, but if we do, we will honor it.
Right to Confidential Communications
- You may request to be contacted at a different location or by a different method.
Right to a Paper Copy
- You are entitled to a paper copy of this Notice at any time, even if you agreed to receive it electronically.
Right to File a Complaint
- If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.

Contact Information

Privacy Officer
Proveri Pharmacy Services
5713 N Pershing Ave Ste A3
Phone: (209) 488-7770
Fax: (209) 307-6542
Email: info@proverirx.com