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.
Our Pledge Regarding Your Health Information
Village Pharmacy of Syosset is committed to protecting the privacy of your protected health information ("PHI") in compliance with the Health Insurance Portability and Accountability Act of 1996 ("HIPAA"), the HITECH Act, and applicable New York State law.
How We May Use and Disclose Your PHI
Treatment
We may use and share your PHI to dispense prescriptions, coordinate with your prescriber, and provide pharmacy counseling.
Payment
We may use and share your PHI to bill your insurance, collect payment, and obtain prior authorizations.
Healthcare Operations
We may use PHI for our internal operations, such as quality improvement, staff training, and compliance review.
Other Permitted Uses
- To remind you about refills, appointments, or pickup.
- To family members or others involved in your care, when permitted by law.
- For public health activities, reporting adverse events, and as required by the FDA.
- To comply with workers' compensation laws, court orders, subpoenas, or law-enforcement requests permitted by law.
- To avert a serious threat to health or safety.
Uses That Require Your Written Authorization
We will obtain your written authorization before using or disclosing your PHI for marketing, before selling your PHI, or for most uses of psychotherapy notes. You may revoke your authorization in writing at any time.
Your Rights
- Right to access: request a copy of your pharmacy records.
- Right to amend: ask us to correct information you believe is incorrect or incomplete.
- Right to an accounting of disclosures: request a list of certain disclosures we have made.
- Right to request restrictions: ask us to limit how we use or share certain information. We will accommodate reasonable requests where required by law (for example, when you pay out of pocket in full for a service).
- Right to confidential communications: ask us to contact you at an alternative address or by alternative means.
- Right to a paper copy of this notice: upon request, at any time.
- Right to be notified of a breach: we will notify you in the event of a breach of unsecured PHI.
Our Responsibilities
- We are required by law to maintain the privacy and security of your PHI.
- We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
- We must follow the duties and privacy practices described in this notice and give you a copy.
- We will not use or share your information other than as described here unless you tell us we can in writing.
Information Collected Through This Website
Personal information you provide through the sign-up form (name, phone, email, ZIP code, optional date of birth) is used to enroll you in the free delivery program. Once you become a pharmacy patient, any information that identifies you as receiving pharmacy services is treated as PHI under this Notice. We do not transmit PHI to advertising platforms.
Changes to This Notice
We may change this Notice at any time. Changes apply to all PHI we maintain. The updated Notice will be posted on this page and available at the pharmacy.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with us using the contact information below, or with the U.S. Department of Health and Human Services Office for Civil Rights at hhs.gov/ocr. We will not retaliate against you for filing a complaint.
Contact
Privacy Officer
Village Pharmacy of Syosset
38 Cold Spring Rd, Syosset, NY 11791
Phone: (516) 517-3323