Guy Brewery Pharmacy Notice of Privacy Practices

This Notice describes how your medical information may be used and disclosed and how you can get access to this information. Please review it carefully.

OUR COMMITMENT TO YOUR PRIVACY

Guy Brewer Pharmacy is dedicated to maintaining the privacy and confidentiality of your protected health information (PHI) in compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA). This Notice of Privacy Practices describes how we may use and disclose your PHI and your rights regarding this information.

HOW WE MAY USE AND DISCLOSE YOUR PHI

We may use and disclose your PHI for the following purposes without your written authorization:

  1. Treatment – To provide and manage your medications, consult with healthcare providers, and coordinate your care.
  2. Payment – To bill and process payments from you, insurance companies, or third-party payers.
  3. Healthcare Operations – For pharmacy management, quality assessment, employee training, and compliance audits.

We may also disclose your PHI without your authorization in specific situations, including:

  • As Required by Law – To comply with federal, state, or local laws.
  • Public Health and Safety – To report adverse drug reactions, prevent disease, and notify health authorities of certain conditions.
  • Health Oversight Activities – To regulatory agencies for audits, investigations, and licensing.
  • Legal Proceedings – In response to subpoenas, court orders, or legal processes.
  • Law Enforcement – To assist in criminal investigations or locate missing persons.
  • Military and National Security – For military personnel and government security needs.
  • Workers’ Compensation – To process claims related to work-related injuries.

USES AND DISCLOSURES REQUIRING YOUR AUTHORIZATION

We will not use or disclose your PHI for the following purposes without your explicit written permission:

  • Marketing purposes
  • Sale of PHI
  • Most sharing of psychotherapy notes

You have the right to revoke your authorization in writing at any time, except for disclosures already made with your permission.

YOUR RIGHTS REGARDING YOUR PHI

You have the following rights regarding your PHI:

  1. Right to Access – You may request copies of your PHI, with limited exceptions.
  2. Right to Amend – You may request corrections to your PHI if you believe it is incorrect or incomplete.
  3. Right to an Accounting of Disclosures – You may request a list of disclosures made of your PHI, except for those related to treatment, payment, and healthcare operations.
  4. Right to Request Restrictions – You may request limitations on how we use or disclose your PHI. While we will consider your request, we are not always required to agree.
  5. Right to Confidential Communications – You may request that we communicate with you through alternative means or locations.
  6. Right to a Paper Copy of This Notice -You may request a physical copy of this Notice at any time.

OUR RESPONSIBILITIES

We are required by law to:

  • Maintain the privacy of your PHI
  • Provide you with this Notice of Privacy Practices
  • Follow the terms of this Notice
  • Notify you if a breach of your PHI occurs

CHANGES TO THIS NOTICE

We reserve the right to modify this Notice at any time. Any changes will be effective for existing and future PHI. The revised Notice will be available upon request and posted in our pharmacy.

CONTACT INFORMATION & COMPLAINTS

If you have questions or concerns about this Notice or believe your privacy rights have been violated, you may contact:

Guy Brewer Pharmacy
117-17 Guy R Brewer Blvd Jamaica, NY 11434
Email: guybrewerpharmacy@yahoo.com

You also have the right to file a complaint with the U.S. Department of Health & Human Services at www.hhs.gov/ocr/privacy/hipaa/complaints/. We will not retaliate against you for filing a complaint.

Thank you for trusting Guy Brewer Pharmacy with your healthcare needs.

Date Of Last Revision : 02/05/2025