Notice of Privacy Practices
Effective Date: 1.21.2025
Review Date: 1.21.2025

Pure Path Compounding Pharmacy, LLC
2141 W Airport Way #700, Boise, ID 83705
Phone: (208) 985-3575 | Email: Support@purepathpharmacy.com

Your Information. Your Rights. Our Responsibilities.
This notice describes how your medical information may be used and disclosed and how you can access your information. Please review it carefully.

 

Your Rights
You have the right to:

Get a copy of your paper or electronic medical record.

Ask us to correct your medical record if you believe it is incorrect or incomplete.

Request confidential communications (e.g., asking us to contact you at a different location).

Ask us to limit what we use or share.

Get a list (accounting) of those with whom we’ve shared your information.

Get a copy of this privacy notice at any time.

Choose someone to act for you (e.g., medical power of attorney).

File a complaint if you believe your privacy rights have been violated.

 

Your Choices
You have the right to make choices in the way we use and share your information in the following situations:

Sharing information with your family, close friends, or others involved in your care.

In disaster relief efforts.

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Including your information in a facility directory (if applicable).

Contacting you for fundraising efforts.

If you have a clear preference for how we share your information in these situations, let us know. Tell us what you want us to do, and we will follow your instructions.
In the event you are unable to express your preferences, we may share your information when necessary for your care or for your safety.

 

Uses and Disclosures
We may use and share your information for the following purposes:

 

Treatment
We can use your health information and share it with other professionals who are treating you.
Example: A doctor treating you for an injury asks another doctor about your overall health condition.

 

Health Care Operations
We can use and share your health information to run our pharmacy, improve your care, and contact you when necessary.
Example: We use health information to manage the quality of our services.

 

Billing and Payment
We can use and share your health information to bill and get payment from health plans or other entities.
Example: We give information about you to your health insurance plan so it will pay for your prescriptions.

Additional Ways We May Use or Share Your Information
We are allowed or required to share your information in other ways, generally to help the public good, such as:

Preventing disease.

Reporting adverse reactions to medications.

Reporting suspected abuse, neglect, or domestic violence.

Preventing or reducing a serious threat to anyone’s health or safety.

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Research
We can use or share your information for health research under certain conditions.

Compliance with the Law
We will share information if state or federal law requires it, including with the Department of Health and Human Services for HIPAA compliance reviews.

Organ and Tissue Donation
We can share health information with organizations that handle organ procurement or transplantation.

Medical Examiners, Coroners, and Funeral Directors
We can share health information to identify a deceased person, determine cause of death, or allow funeral arrangements.

Workers’ Compensation, Law Enforcement, and Other Government Requests
We can use or share health information:

For workers’ compensation claims.

For law enforcement purposes or with a law enforcement official.

With health oversight agencies for activities authorized by law.

For special government functions such as military, national security, and presidential protective services.

Lawsuits and Legal Actions
We can share your health information in response to a court or administrative order, or in response to a subpoena.

 

Our Responsibilities
We are required by law to maintain the privacy and security of your protected health information.

We will let you know promptly if a breach occurs that may have compromised your information.

We must follow the duties and privacy practices described in this notice.

We will not use or share your information other than as described here unless you give us written permission.

Uses That Require Your Authorization
We will never share your information:

For marketing purposes,

For the sale of your information,

For sharing psychotherapy notes,
unless you give us written authorization.

If you give us permission, you may revoke it at any time.

 

Your Rights in Detail
Get a Copy of Your Medical Record
You can ask to see or get an electronic or paper copy of your medical record. We will provide a copy within 30 days. A reasonable, cost-based fee may apply.

Ask Us to Correct Your Record
If you think your record is incorrect, you can request a correction. We may say “no” to your request, but we will tell you why in writing within 60 days.

Request Confidential Communications
You can ask us to contact you in a specific way (for example, home or office phone) or send mail to a different address. We will agree to all reasonable requests.

Ask Us to Limit What We Use or Share
You can ask us not to use or share certain health information. We are not required to agree, but if you pay for a service out-of-pocket in full, we will not share that information with your insurer unless required by law.

Get a List of Those We’ve Shared Your Information With
You can request an accounting of disclosures (up to six years back). The first request is free. Additional requests may have a fee.

 

Complaints and Contact Information
If you believe your privacy rights have been violated, you may contact:

Senior Compliance Officer
Pure Path Compounding Pharmacy, LLC
Phone: (208) 985-3575
Email: Support@purepathpharmacy.com
Address: 2141 W Airport Way #700, Boise, ID 83705

You may also file a complaint with the U.S. Department of Health and Human Services. We will not retaliate against you for filing a complaint.

More information available at: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html