Our Privacy Practices
SoBe Compounding Apothecary
13150 SW 134th Street
Miami, Florida - 33186
Telephone: 305-969-5410
www.sobecompoundingapothecary.flashrx.com

NOTICE OF PRIVACY PRACTICES

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.

Your Health Information Rights

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

Effective Date
This notice is effective as of 2/14/2012_ (the Publication date of the notice).
Privacy Officer :

Pharmacy: SoBe Compounding Apothecary
System Time: 10/10/2024 9:16:57 PM PST
Local Time: