Notice of Privacy Practices

This notice describes how your medical information may be used and disclosed and how you can get access to this information.

Please review it carefully.

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Prescription Hope is committed to maintaining your privacy and we take our responsibility for safeguarding this information very seriously. Prescription Hope is required by law to provide you with this Notice so that you will understand how we may use or share your “Protected Health Information” ("PHI") or simply “health information.” PHI is information we obtain to provide services to you and that can identify you. PHI includes your name, medical conditions, health information and other information we use to provide our services to you. We are required to adhere to the terms outlined in this Notice. If you have any questions about this Notice, please contact Prescription Hope.

How we may use and disclose protected health information about you

The following categories describe the ways that we use and disclose health information. Not every use or disclosure in a category will be listed. However, all of the ways we are permitted to use and disclose information will fall into one of the categories.

• For Our Services. PHI obtained from Prescription Hope will be used in order to provide all the necessary information to the pharmaceutical companies who manufacture and ship your medication. We may disclose health information about you to doctors, nurses, other health care providers who are involved in taking care of you.
• For Payment. We may use or disclose your PHI to your alternate or emergency contacts. For example, we may contact your alternate contact, or another third party to obtain payment for services we provided to you. We may also contact you about a payment or balance due.

Other allowable uses of your health information

• Business Associates. We may contract with third parties to perform certain services for us, such as billing services, copy services or consulting services. These third-party service providers, referred to as Business Associates, may need to access your PHI to perform services for us. They are required by contract and law to protect your PHI and only use and disclose it as necessary to perform their services for us.
• Individuals Involved in Your Care or Payment for Your Care. We may disclose health information about you to a friend or family member who is involved in your care. We may also give information to someone who helps pay for your care.
• Disclosures to Parents or Legal Guardians. If you are a minor, we may release your PHI to your parents or legal guardians when we are permitted or required under federal and applicable state laws. In those cases, Prescription Hope will follow state laws regarding disclosure of a minor's PHI.
• As Required By Law. We will disclose health information about you when required to do so by federal, state or local law.
• Military and Veterans. If you are a member of the armed forces, we may disclose health information about you as required by military authorities. We may also disclose health information about foreign military personnel to the appropriate foreign military authority.
• Research. We may use your PHI to conduct research and we may disclose your PHI to researchers as authorized by law. For example, we may use or disclose your PHI as part of a research study when the research has been approved by an institutional review board or privacy board that has reviewed the research proposal and established protocols to ensure the privacy of your information.
• Workers' Compensation. We may disclose health information about you for workers' compensation or similar programs. These programs provide benefits for work-related injuries or illness.
• Reporting. Federal and state laws may require or permit Prescription Hope to disclose certain health information related to the following:
  • Prevention or control of disease, injury or disability;
  • Notifying people of recalls of products;
  • Notifying a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease;


• Health Oversight Activities. We may disclose health information to a health oversight agency for activities authorized by law. These oversight activities may include audits, investigations, inspections, and licensure. These activities are necessary for the government to monitor the health care system, government programs, and compliance with civil rights laws.
• Judicial and Administrative Proceedings. If you are involved in a lawsuit or a dispute, we may disclose health information about you in response to a court or administrative order. We may also disclose health information about you in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the information requested.
• Law Enforcement. We may disclose health information when requested by a law enforcement official:
  • In response to a court order, subpoena, warrant, summons or similar process;
  • To identify or locate a suspect, fugitive, material witness, or missing person;
  • About you, the victim of a crime if, under certain limited circumstances, we are unable to obtain your agreement;
  • About a death we believe may be the result of criminal conduct;
  • About criminal conduct at Prescription Hope; and
  • In emergency circumstances to report a crime; the location of the crime or victims; or the identity, description or location of the person who committed the crime.


• National Security and Intelligence Activities. We may disclose health information about you to authorized federal officials for intelligence, counterintelligence, and other national security activities authorized by law.
• Correctional Institution. Should you be an inmate of a correctional institution, we may disclose to the institution or its agent's health information necessary for your health and the health and safety of others.
• Protective services for the President and others. We may disclose your PHI to authorized federal officials so that they may provide protection to the President, other authorized persons, or foreign heads of state, or conduct special investigations.

Other uses of health information

Other uses and disclosures of health information not covered by this Notice or the laws that apply to us will be made only with your written permission. If you provide us permission to use or disclose health information about you, you may revoke that permission, in writing, at any time. If you revoke your permission, we will no longer use or disclose health information about you for the reasons covered by your written authorization. You understand that we are unable to take back any disclosures we have already made with your permission, and that we are required to retain our records of the care that we provided to you.