Privacy Statement
SUMMARY NOTICE OF PRIVACY
PRACTICES
Effective Date:
April 14, 2003
THIS SUMMARY 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.
If you have any questions
about the Summary or the Notice of Privacy
Practices, please contact the Little Drug Company Privacy
Officer at 412 Canal Street, New Smyrna Beach, FL 32168.
Little Drug Company is required by law to:
-
Make sure that the health
information that identifies you is kept private.
-
Give you this notice of
our legal duties and privacy practices with
respect to your health information; and
-
Follow the terms of the
notice that is currently in effect.
In order to provide you quality care and services, Little Drug
Company needs to use and disclose your health information for
purposes of treatment, payment and health care operations. For
example, we may use and disclose your health information to:
-
Fill your prescription or
to contact you as a reminder to refill a
prescription, as well as to recommend possible treatment
alternatives.
-
Bill you, your insurance
carrier or a third party for the products and
services we provide for you.
-
Conduct peer reviews,
quality assessments and compliance audits, as well as other
administrative functions.
You have certain rights to your health information, including
the right to:
-
Access and obtain a copy
of your health information;
-
Request that Little Drug
Company amend information that you believe is incomplete or
incorrect; and
-
Complain to Little Drug
Company or the Secretary of Health and Human Services if you
believe your privacy rights have been violated. All
complaints must be submitted in writing. You will not be
penalized for filing a complaint.
TO FILE A COMPLAINT WITH LITTLE DRUG COMPANY CONTACT: PRIVACY
OFFICER AT
386-428-9041 OR 412 CANAL STREET, NEW SMYRNA BEACH, FL
32168