Effective Date: February 12, 2023

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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.

We are committed to protecting your medical information. This Notice explains how we may use and disclose your protected health information (PHI) and your rights under the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

Our Responsibilities
PharmXHealthOne is required by law to:
• Maintain the privacy of your PHI
• Provide you with this Notice of our legal duties and privacy practices
• Notify you in the event of a breach involving your PHI
• Comply with the terms of this Notice

How We May Use and Disclose Your PHI Without Your Authorization
The following categories describe how we typically use or share your PHI:

1. Treatment
We may use and share your PHI to provide, coordinate, or manage your healthcare. For example, we may share information with pharmacists to fulfill your prescriptions.

2. Payment
We may use or disclose your PHI to obtain payment for services provided. This may include communications with your insurer or third-party payers.

3. Healthcare Operations
We may use or share your PHI to operate our practice, improve services, and conduct quality assessments.

4. Business Associates
We may share PHI with third-party service providers (e.g., billing or IT services) who perform activities on our behalf. These associates are legally required to safeguard your information.

5. Appointment Reminders and Communication
We may contact you through phone, email, text, or secure messaging for appointments, test results, order updates, or health-related information.

6. As Required by Law
We will disclose your PHI when required by federal, state, or local laws, such as public health reporting or legal investigations.

Other Permitted Disclosures
We may also use or disclose your PHI in the following situations:
• To prevent or lessen a serious and imminent health or safety threat
• For public health activities (e.g., disease reporting)
• To comply with workers' compensation laws
• For research (with specific conditions)
• To report abuse, neglect, or domestic violence
• For health oversight activities (e.g., audits, investigations)
• For law enforcement purposes
• To coroners, medical examiners, or funeral directors
• For organ and tissue donation
• If you are a member of the armed forces or under national security directives

Uses and Disclosures That Require Your Written Authorization
We will obtain your written authorization before using or disclosing your PHI for:
• Marketing purposes
• Sale of your PHI
• Most disclosures of psychotherapy notes (if applicable)
You may revoke an authorization in writing at any time, except to the extent we have already acted on it.

Your Rights Regarding Your PHI
You have the following rights:

1. Right to Access and Obtain Copies
You may request a copy of your PHI in paper or electronic format. Requests must be made in writing to:
📧 health@pharmxhealthone.com

2. Right to Request Amendments
If you believe your PHI is incorrect or incomplete, you may request an amendment in writing.

3. Right to an Accounting of Disclosures
You may request a list of certain disclosures we’ve made of your PHI over the past six years, excluding disclosures for treatment, payment, and healthcare operations.

4. Right to Request Restrictions
You may ask us not to use or disclose certain parts of your PHI. While we are not required to agree to most requests, we must comply with a restriction if you paid out of pocket in full for a service and request that it not be disclosed to your health plan.

5. Right to Request Confidential Communications
You may request that we contact you in a specific way (e.g., only by personal email) or at a specific location.

6. Right to Receive a Copy of This Notice
You may request a paper or electronic copy of this Notice at any time.

7. Right to Notification of a Breach
You will be notified in the event your PHI is involved in a breach of unsecured health information.

Changes to This Notice
We may update this Notice at any time. Any revisions will apply to all PHI we maintain. Updates will be posted on our website and made available upon request.

Questions or Complaints
If you have questions about this Notice or believe your privacy rights have been violated, you may contact us at:
📧 health@pharmxhealthone.com

You may also file a complaint with the U.S. Department of Health & Human Services, Office for Civil Rights. We will not retaliate against you for filing a complaint.

I certify that I have been made aware of PharmXhealthOnes Notice of Privacy Practices and that I have a right to receive a copy upon request. This Notice describes the type of uses and disclosures of my protected health information that might occur during my treatment, to facilitate the payment of my bills or in the performance of PharmXhealthOne’s health care operations. The Notice also describes my rights and PharmXhealthOne’s duties with respect to my protected health information. I understand that copies of the Notice of Privacy Practices are available in the registration areas of each facility and on PharmXhealthOne’s web site at www.pharmxhealthone.com.I may request that a copy be mailed to me by calling (561) 778-8121.

PharmXhealthOne reserves the right to change the privacy practices that are described in the Notice of Privacy Practices. I may obtain a revised Notice of Privacy Practices by calling the above number and requesting a revised copy be mailed to me, by asking for one at the time of my next appointment, or by contacting PharmXhealthOne’s on www.pharmxhealthone.com and complete Contact Form to indicate/requet for the most current version.