Hopewell Pharmacy Privacy Policy

• Obtain a paper copy of the Notice upon request. You may request a copy of the Notice at any time. Even if you have agreed to receive the Notice electronically, you are still entitled to a paper copy. To obtain a paper copy, contact the Privacy Officer at (609) 466-1960.
• Request a restriction on certain uses and disclosures of PHI. You have the right to request additional restrictions on our use or disclosure of PHI about you by sending a written request to the Privacy Officer. We are not required to agree to those restrictions.
• Inspect and obtain a copy of PHI. You have the right to access and copy PHI about you contained in a designated record set for as long as Hopewell Pharmacy maintains the PHI. The "designated record set" usually will include prescription and billing records. To inspect or copy PHI about you, you must send a written request to the Privacy Officer. We may charge you a fee for the costs of copying, mailing, or other supplies that are necessary to grant your request (see State Rights Section.) We may deny your request to inspect and copy in certain limited circumstances. If you are denied access to PHI about you, you may request that the denial be reviewed.
• Request an amendment of PHI. If you feel that PHI we maintain about you is incomplete or incorrect, you may request that we amend it. You may request an amendment for as long as we maintain the PHI. To request an amendment, you must send a written request to the Privacy Officer. In addition, you must include a reason that supports your request. In certain cases, we may deny your request for amendment. If we deny your request for amendment, you have the right to file a statement of disagreement with the decision and we give you a rebuttal to your statement.
• Receive an accounting of disclosures of PHI. You have the right to receive an accounting of the disclosures we have made of PHI about you after April 14, 2003 for most purposes other than treatment, payment, or health care operations. The accounting will exclude disclosures we have made directly to you, disclosures to friends or family members involved in your care, and disclosures for notification purposes. The right to receive an accounting is subject to certain other exceptions, restrictions, and limitations. To request an accounting, you must submit your request in writing to the Privacy Officer. Your request must specify the time period, but may not be longer than six years. The first accounting you request within a 12 month period will be provided free of charge, but you may be charged for the cost of providing additional accountings. We will notify you of the cost involved and you may choose to withdraw or modify your request at that time.
• Request communications of PHI by alternative means or at alternative locations. For instance, you may request that we contact you about medical matters only in writing or at a different residence or post office box. To request confidential communication of PHI about you, you must submit your request in writing to the Privacy Officer. Your request must state how or when you would like to be contacted. We will accommodate all reasonable requests.
• Revoke your consent to use or disclose PHI. You may revoke consent in writing at any time. Upon receipt of the written revocation, we will stop using or disclosing PHI about you, except to the extent that we have already taken action in reliance on the consent. We may refuse to continue to treat a customer that revokes his or her consent.

• If you are a member of a Prepaid Prescription Service Organization ( enrollee), all information relating to the diagnosis or treatment of an enrollee or prospective enrollee obtained by a prepaid prescription service organization is confidential and may not be disclosed without the consent of the enrollee or perspective enrollee [N .J .Stat. § l7:48F-28.]
• If you have a form of cancer, New Jersey maintains a cancer registry, with mandatory reporting requirements, for the purpose of recognizing, preventing, curing and controlling such diseases. [N.J. Stat. Ann. §§§ 26:2-105; 26:2-106.] Reports made to the cancer registry are to be used only by the State Department of Health and other agencies designated by the Commissioner of Health, and may not be divulged or made public. [N.J. Stat. Ann. § 26:2-107.]
• With respect to Genetic Information, an individual or an individual's representative, promptly upon request, may inspect, request correction of and obtain genetic information from the records of the individual. This provision does not apply in the case of a policy of life insurance or a disability income insurance contract, which is governed by the provisions of the insurance title.
• With respect to HIV/AIDS, the AIDS Assistance Act is a comprehensive statutory scheme for identifying cases and preventing the spread of mV/AIDs. [N.J. Stat. Ann. §§ 26:5C-1 through 26:5C-18.] Under the statute, a record containing identifying information about a person who has or is suspected of having AIDS/HIV is confidential and may not be disclosed without the prior written consent of the person except for the purposes authorized by the Act. [N.J. Stat. Ann. §§ 26:5C-7; 25:5C-8.]
• With respect to Venereal Disease, Under New Jersey law, no person may disclose the name or identity of another person known or suspected of having venereal disease except to the person's physician, to a health authority or, in limited circumstances, to a prosecuting officer or to the court. [N.J. Stat. Ann. § 26:4-41.] The affected person's physician or the health authority may disclose this information "when and only when" disclosure is necessary to protect the health or welfare of the person, his family, or the public. [Id.] Documents, records or reports that contain identifying information may not be open to inspection except to the Department of Health (and in limited circumstances a prosecuting officer and the court). Hospital records containing this information may be reviewed in connection with any claim for compensation or damages for personal injury or death. [N.J. Stat. Ann. § 26:4-41.]
• With respect to Substance Abuse, the treatment records of patients are confidential and may only be made available upon proper judicial order. [N.J. Stat. Ann. § 26:2B-20.]