NOTICE OF PRIVACY PRACTICES

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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.

Uses and Disclosures of Your Protected Health Information

Crown Coast Pharmacy may use and disclose your protected health information (PHI) for treatment, payment, and healthcare operations.

Treatment

We may use and disclose your PHI to provide and coordinate the treatment and services you receive. For example, we may use your information to fill prescriptions or communicate with your healthcare providers.

Payment

We may use and disclose your PHI to bill and receive payment for the services provided to you. For example, we may submit claims to your insurance provider.

Healthcare Operations

We may use and disclose your PHI to support our business activities, including quality assessment, employee training, licensing, and compliance activities.

Other Uses and Disclosures Without Authorization

• As required by law
• For public health activities
• For health oversight activities
• For law enforcement purposes
• To avert a serious threat to health or safety
• For workers’ compensation

Uses and Disclosures That Require Authorization

Other uses and disclosures of your PHI not described in this Notice will be made only with your written authorization. You may revoke your authorization at any time in writing.

Your Rights

• The right to inspect and obtain a copy of your PHI
• The right to request an amendment to your PHI
• The right to request restrictions on certain uses and disclosures
• The right to request confidential communications
• The right to receive an accounting of disclosures
• The right to obtain a paper copy of this Notice

Our Responsibilities

Crown Coast Pharmacy is required by law to maintain the privacy and security of your PHI, provide you with this Notice, abide by its terms, and notify you if a breach occurs.

Changes to This Notice

Crown Coast Pharmacy reserves the right to change this Notice and make the new provisions effective for all PHI we maintain. Revised Notices will be available upon request and posted in the pharmacy.

Complaints

If you believe your privacy rights have been violated, you may file a complaint with Crown Coast Pharmacy or the U.S. Department of Health and Human Services. You will not be retaliated against for filing a complaint.

Contact Information

Privacy Officer: Arash Kohan
Crown Coast Pharmacy
928 Coronado Ave. Coronado, CA 92118

(619) 436-1066
info@crowncoastrx.com