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This document is a working draft prepared from the HHS model notice. It has not yet been reviewed by counsel. Remove this banner only after review.
Notice of Privacy Practices
Effective date: to be set at launch
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 commitment
Jamaica Care RX is required by law to protect the privacy of your health information, to give you this notice describing our legal duties and privacy practices, and to follow the terms of the notice currently in effect.
How we may use and share your health information
We may use and share your information in the following ways.
- For treatment. We share information with your prescribers and other pharmacies to fill and transfer your prescriptions, check for interactions, and answer clinical questions about your care.
- For payment. We share information with your health plan to bill for the medication and services you receive.
- For health care operations. We use information to review the quality of our services, train staff, and run the pharmacy.
- To contact you. We may call, text, or write to you about refills, pickups, and services that may help you.
Other uses permitted or required by law
- Public health and safety, including reporting adverse drug reactions
- Required reporting to health oversight agencies
- Response to a court order, subpoena, or lawful request from law enforcement
- Workers compensation claims
- Research, when a review board has approved it and privacy is protected
Uses and disclosures not described in this notice will be made only with your written authorization, and you may revoke that authorization at any time.
Your rights
- Get an electronic or paper copy of your prescription records
- Ask us to correct information you believe is wrong or incomplete
- Ask us to contact you in a specific way or at a specific address
- Ask us to limit what we use or share, though we are not always required to agree
- Tell us not to share information about a prescription with your health plan when you pay for it in full yourself. We must agree to that request unless a law requires us to share it.
- Ask for a list of the times we shared your information, for the six years before the date you ask
- Get a paper copy of this notice, even if you agreed to receive it electronically
- Choose someone to act for you, such as a health care proxy or guardian
- File a complaint if you believe your privacy rights have been violated
Our responsibilities
We are required by law to maintain the privacy and security of your health information, and to notify you promptly if a breach occurs that may have compromised it. We will not use or share your information other than as described here unless you tell us in writing that we may.
Changes to this notice
We may change the terms of this notice, and the changes will apply to all information we hold. The revised notice will be available in the pharmacy and on this page.
How to raise a concern
Speak to the pharmacist on duty, call us at (718) 480-1173, or write to us at 104-15 Jamaica Ave, Richmond Hill, NY 11418.
You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights at 200 Independence Avenue SW, Washington, D.C. 20201, by calling 1-877-696-6775, or at hhs.gov/ocr/complaints. We will not retaliate against you for filing a complaint.
A note about this website
The request forms on this website deliberately do not collect medication names, dates of birth, prescription numbers, insurance identifiers, or any other health information. They collect only your name and how to reach you. A pharmacist collects everything else by telephone.