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.
Kemp Drug works with you to provide quality prescriptions.
This Notice of Privacy Practices ("notice") describes:
We are required by law to:
As permitted by your health plan or prescription benefit plan, we may use and disclose your medical information for the following purposes only:
Treatment
We may use and disclose your medical information to healthcare professionals to provide, coordinate and manage the delivery of medical items or services.
For example,
Our pharmacist may disclose medical information about you to your physician in order to coordinate the prescribing and delivery of your medications.
We will fill and send to you orders that you send to Kemp Drug.
Payment
We may use and disclose medical information about you to manage your account and process your claims for medications you have received.
For example, we may provide you with claim forms containing your information for you to submit to your health plan or employer for payment.
Healthcare Operations
We may use and disclose your medical information to carry on our own business planning and healthcare operations.
We need to do this so we can provide you with pharmacy benefits and ensure you receive the highest-quality services.
For example,
We may use and disclose medical information about you to:
At your request, we may send you information about health conditions, medications or promotions.
At your request or the request of your health plan, we may send you information or contact you about programs designed to improve your health.
Care Coordination and Treatment Reminders
We may use or disclose your medical information to contact you about treatment options or alternatives that may be of interest to you.
For example, we may call you to remind you of expired prescriptions, the availability of alternative medications or to inform you of other medications that may benefit your health.
Individuals Involved in Your Care or Payment for Your Care
We may disclose medical information about you to someone who assists in or pays for your care.
Unless you write to us and specifically tell us not to, we may disclose your medical information to someone who has your permission to act on your behalf.
We will require this person to provide adequate proof that he or she has your permission.
Business Associates
We may arrange to provide some services through contracts with business associates.
On occasion, we may disclose your medical information to business associates acting on our behalf.
If any medical information is disclosed, we will protect your information from further use and disclosure using confidentiality agreements.
Research
Under certain circumstances, we may use and disclose medical information about you for research purposes.
Before we use or disclose medical information about you, we will either remove information that personally identifies you or gain approval through a special approval process designed to protect the privacy of your medical information.
In some circumstances, we may use your medical information to generate aggregate data (summarized data that does not identify you) to,
These studies generate aggregate data that we may sell or disclose to other companies or organizations.
Aggregate data does not personally identify you.
Abuse, Neglect or Domestic Violence
We may disclose your medical information to a social service, protective agency or other government authority if we believe you are a victim of abuse, neglect, or domestic violence.
We will inform you of our disclosure unless informing you will place you at risk of serious harm.
Public Health
We may disclose your medical information to a public health department, including the U.S. Food and Drug Administration, when required by law for the reporting or tracking of illnesses, injuries or dangerous preparations.
Health Oversight
We may disclose medical information to a health oversight agency performing activities authorized by law, such as investigations and audits.
These agencies include governmental agencies (state and federal) that oversee the healthcare system, government benefit programs, and organizations subject to government regulation and civil rights laws.
To Avert Serious Threat to Health or Safety, we may disclose your medical information to prevent or lessen an imminent threat to the health or safety of another person or the public.
Such disclosure will only be made to someone in a position to prevent or lessen the threat.
Judicial Proceedings
We may disclose your medical information in the course of any judicial proceeding in response to a court order, subpoena, or other lawful process, but only after we have been assured that efforts have been made to notify you of the request.
Law Enforcement
We may disclose your medical information, as required by law, in response to a subpoena, warrant, summons or, in some circumstances, to report crime.
Coroners and Medical Examiners
We may disclose your medical information to a coroner or a medical examiner for the purpose of determining cause of death or other duties authorized by law.
Organ, Eye and Tissue Donation
We may disclose your medical information to organizations involved in organ transplantation to facilitate donation and transplantation.
Workers Compensation
We may disclose your medical information in order to comply with workers compensation laws and other similar programs.
Specialized Government Functions, Military and Veterans
We may disclose your medical information to authorized federal officials to perform intelligence, counter-intelligence, medical suitability determinations, Presidential protection activities, and other national security activities authorized by law.
If you are a member of the U.S. armed forces or of a foreign military force, we may disclose your medical information as required by military command authorities or law.
If you are an inmate in a correctional institution or under the custody of a law enforcement official,
We may disclose your medical information to those parties if disclosure is necessary for:
As Otherwise Required By Law
We will disclose medical information about you when required to do so by law.
If federal, state, or local law within your jurisdiction offers you additional protections against improper use or disclosure of medical information, we will follow such laws to the extent they apply.
Other Uses and Disclosures
Other uses and disclosures of your medical information not listed in this notice will be made only with your written authorization.
You may revoke this authorization at any time unless we have taken action in reliance upon it.
Your Rights With Respect to Your Medical Information
You have the following rights regarding medical information we maintain about you:
→ Right to Inspect and Copy
→ Right to Amend
→ Right to an Accounting of Disclosures
→ Right to be Notified
→ Right to Request Restrictions
Your request must,
We are not required to agree to your request.
If we do agree, we will comply with your request unless the restricted information is needed to provide you with emergency treatment.
→ Right to Request Disclosures to your Insurance Plan.
→ Confidential Communications
→ Right to a Paper Copy of This Notice
→ Right to File a Complaint
Written complaints and written requests for a copy of your medical information, amendment to your medical information, an accounting of disclosures, restrictions on your medical information or for confidential communications may be mailed to:
Kemp Drug
215 North Main
Bristow, Oklahoma 74028
Please include;
We reserve the right to revise this notice.
A revised notice will be effective for information we already have about you as well as any information we may receive in the future.