Notice of Privacy Practices for QuickFill Pharmacy powered by TestNoPain

Your Information. Your Rights. Our Responsibilities.
Effective Date: 05.22.2024

You have the right to:

Get a copy of your paper or electronic medical record: You can ask to see or get a copy of your health information.
Correct your paper or electronic medical record: You can ask us to correct health information about you that you think is incorrect or incomplete.
Request confidential communication: You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.
Ask us to limit the information we share: You can ask us not to use or share certain health information for treatment, payment, or our operations.
Get a list of those with whom we’ve shared your information: You can ask for a list (accounting) of the times we’ve shared your health information for six years prior to the date you ask, who we shared it with, and why.
Get a copy of this privacy notice: You can ask for a paper copy of this notice at any time.
Choose someone to act for you: If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
File a complaint if you feel your rights are violated: You can complain if you feel we have violated your rights by contacting us using the information at the end of this notice.

You have some choices in the way that we use and share information as we:

Tell family and friends about your condition: We can share your information with family, close friends, or others involved in your care.
Provide disaster relief: We may share your information in a disaster relief situation.
Include you in a hospital directory: We may include your information in a directory.
Provide mental health care: We can use and share your health information for mental health services.
Market our services and sell your information: We will not sell your information unless you give us written permission.

We typically use or share your health information in the following ways:

Treat you: We can use your health information and share it with other professionals who are treating you.
Run our organization: We can use and share your health information to run our practice, improve your care, and contact you when necessary.
Bill for your services: We can use and share your health information to bill and get payment from health plans or other entities.

We are required by law to:

Maintain the privacy and security of your protected health information.
Let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
Follow the duties and privacy practices described in this notice and give you a copy of it.
Not use or share your information other than as described here unless you tell us we can in writing.

For more information or to report a concern, please contact us at:

This notice is effective as of 05.22.2024