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You have the right to request additional restrictions on our use and disclosure of PHI about you by sending a written request to the Privacy Officer or e-mailing the request to [email protected] We are not required to agree to those restrictions. You have the right to access and copy PHI about you contained in a designated record set for as long as JOSEPH PHARMACY maintains the PHI.

The 'designated record set' usually will include prescription and billing records.

Upon request, we will provide any revised Notice to you.To request confidential communication of PHI about you, you must submit a request in writing to the Privacy Officer or e-mail it to [email protected] Your request must state how or where you would like to be contacted. Example of How We May Use and Disclose PHI The following categories describe and provide examples of different ways we use and disclose PHI about you. Example: Information obtained by the pharmacist will be used to dispense prescription medications to you.We will document in your record information related to the medications dispensed to you and services provided to you. Example: We will contact your insurer or pharmacy benefit manager to determine whether it will pay for your prescription and the amount of your co-payment.To request an amendment, you must send a written request to the Privacy Officer or e-mail it to: [email protected] In addition, you must include a reason that supports your request.In certain cases, we may deny your request for an amendment.




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