| This notice
describes the privacy practices of GetSmartViagra.com,
and affiliated websites. This notice also
describes the privacy practices of the
physicians providing medical consultations
and the pharmacies filling prescriptions for
customers of these websites. These companies
and physicians have agreed to the terms of
this Notice of Privacy Practices, and are
sending you one notice instead of sending
you a separate notice from each of them.
This privacy notice and the privacy
practices explained in this notice notify
you of our commitment to protecting private
health information, and permitting patients
to exercise their rights concerning health
information. No legal relationship between
these physicians and companies is created or
implied for any other purpose.
Your Health Care Information is
Your Personal Information. We
know that information about your
prescriptions and your health care is
private. To process prescriptions, we must
create certain records which contain
information about your health. These records
include medical questionnaires, prescription
profiles, prescriptions, and billing
records.
The law requires that we give you written
notice of our privacy practices, and
requires that we follow the terms of our
privacy notice currently in effect. This
Notice of Privacy Practices describes our
commitment and the commitment of the
physicians and pharmacies to the protection
and confidentiality of your health
information. This notice also describes your
rights concerning your health information,
including your right to inspect and amend
your health information. We are committed to
following the law which requires that
protected health information is kept private
subject to legal requirements which
authorize or require its disclosure in
limited circumstances.
How We May Use and
Disclose Health Information
Unless we have your written
authorization, we will not use and disclose
your protected health information, except
under the limited circumstances explained
below. We will not disclose protected health
information about you for any other reason
without your written authorization. If you
give us an authorization permitting us to
release protected health information, you
may revoke the authorization in writing,
except to the extent we have already
disclosed information pursuant to the
authorization.
A. Health Information is Used
to Allow Us to Fill Your Prescriptions.
We may use or disclose your protected health
information for the purpose of providing
treatment to you through the filling of
prescriptions and allowing physicians to
evaluate whether prescriptions are
appropriate for you. For example, if you
request a prescription, a licensed physician
will evaluate whether you meet the criteria
for the issuance of a prescription based
upon your health information provided to the
physician. The prescription, along with
information you have provided concerning
your health, will be provided to a licensed
pharmacy for the purpose of filling the
prescription.
B. Limited Information is Used to
Obtain Payment for Prescriptions.
We obtain payment for our services through
your credit card company or through a check
processing service. The only information we
share with your credit card company or check
processing service is your name, billing
address and phone number, and credit card
number. For customers paying by check, we
also provide your checking account number to
a check processing service. We do not
share any information with your credit card
company or check processing service which
discloses the type of medication dispensed
to our customers. All personal and
credit card information is submitted using
Secure Encryption Technology.
C. Information May Be Used for
Health Care Operations. We may
use or disclose health care information for
our operations. For example, the physicians,
and pharmacies involved with your care may
disclose health care information to each
other as necessary to assist them with
providing treatment to you, operating their
companies, or to obtain payment.
D. Refill Reminders and
Information about Treatment Alternatives.
We may use health care information to
contact you by e-mail for the purpose of
reminding you of your ability to obtain
prescription refills, or inform you about
treatment alternatives or other health
related benefits and services that may be of
interest to you. Please advise our Privacy
Officer by e-mail at the privacy contact
address described at the end of this Notice
if you do not wish us to contact you
concerning refill reminders, treatment
alternatives, or other health related
benefits and services that may be of
interest to you.
E. Disclosures as Required by
Law. We may use or disclose
protected health information if required to
do so by federal, state, or local law. The
use or disclosure will be made in compliance
with the law, and will be limited to the
relevant requirements of the law. For
example, we may be required to disclose your
health information in relation to cases of
suspected abuse, neglect, domestic violence
or certain physical injuries, or to respond
to a subpoena, or order of a court or
administrative tribunal.
F. Disclosures for Public Health
Activities. We may be required
to disclose protected health information for
public health activities to a public health
authority authorized by law to collect or
receive this information, such as the Food
and Drug Administration, for the purpose of
preventing or controlling disease, injury,
or disability.
G. Disclosures to Coroners and
Medical Examiners. We may be
required to disclose health information
about patients who have died to coroners and
medical examiners so they may carry out
their duties, such as determining the cause
of death.
H. Disclosures Concerning Organ
Donors. If you are an organ
donor, we may be asked to disclose
information concerning your health or drugs
we have prescribed to organ procurement
organizations, eye banks, and other similar
organizations for the purpose of
facilitating organ, eye or tissue donation
and transplantation.
I. Disclosures to Avert a Serious
Threat to Health. As required
by law and standards of ethical conduct, we
are permitted to release your health
information to the proper authorities if we
believe, in good faith, that such release is
necessary to prevent or minimize a serious
and imminent threat to your, the public's,
or another individual's health or safety.
J. Disclosures for Health
Oversight Activities. We are
permitted to disclose your health
information to a health oversight agency for
monitoring and oversight activities
authorized by law. This might include
release of information to the state agency
that licenses pharmacies for the purpose of
monitoring or inspecting pharmacies related
to that license.
K. Disclosures for Workers
Compensation Purposes. We may
be required to release protected health
information about you to the extent
necessary to follow the laws relating to
workers compensation or other similar
programs that provide benefits for work
related injuries or illness.
L. Disclosures to Business
Associates. We may request
certain businesses to assist us with our
health care operations. In the event it is
necessary to disclose protected health
information pertaining to our customers to
these business associates, we will enter
into written contracts with them requiring
that they keep protected health information
private and secure.
Your Rights
Pertaining to Your Health Care Information
A. Right to Request Confidential
Communications. We intend to
communicate with our customers primarily by
e-mail at the e-mail address which you
provided to us and to ship medications to
the shipping address you have provided. You
have the right to request that we
communicate with you in a certain way or at
a certain location. For example, you can ask
that we only contact you by U.S. mail at a
private post office box. We will not ask you
the reason for your request.
To request we communicate with you to a
specific location, or in a particular
manner, please obtain our "Request for
Communications via Specific Means or at
Alternative Locations" form by
contacting our Privacy Officer as described
later in this Notice, and submit the
completed form to our Privacy Officer by
e-mail or U.S. mail. We will accommodate all
reasonable requests.
B. Right to Request Restrictions.
You have the right to ask for restrictions
on how your health information is used or to
whom your information is disclosed, even if
the restriction affects your treatment, our
payment, or health care operation
activities. However, we are not required to
agree to your requested restriction and,
even if we agree to the requested
restriction, we are permitted to use your
information without complying with the
restriction if necessary to treat you in an
emergency situation.
To request a restriction, please obtain
our "Request for Restrictions on the
Use and Disclosure of Health
Information" form by contacting our
Privacy Officer as described later in this
Notice, and submit the completed form to our
Privacy Officer by e-mail.
C. Your Right to Inspect and
Obtain a Copy of Your Health Information.
You have the right to inspect and obtain a
copy of health information that we maintain
about you. This includes prescription
records and billing records. To inspect or
request a copy of your health information,
please contact and obtain our "Request
to Copy or Inspect Records" form from
our Privacy Officer as described later in
this Notice, and submit the completed form
to our Privacy Officer specifying the
records you would like to inspect or to have
us copy for you. If you request a copy of
the records, we may charge a fee for the
cost of copying, mailing, or services
associated with your request. In certain
very limited circumstances, the law provides
that we may deny your request to inspect or
copy these records. If you are denied access
to health information, you may request that
the denial be reviewed by a licensed health
care professional chosen by us who did not
participate in the original decision to deny
your access to review your request and the
reasons for the denial.
D. Your Right to Request an
Amendment to Your Health Information.
If you believe the health information within
your medical record is incorrect, you may
ask us to amend the information. Please
submit such requests in writing by e-mail or
U.S. mail to our Privacy Officer at the
address listed below, and include the
requested amendment along with a reason you
believe your health information should be
amended. We are not required, however, to
honor your request if we did not create the
information you are requesting be amended or
if the information in your record is
correct. We will respond to your request in
writing within 60 days of the date of
receipt of your written request for
amendment of your information, unless we
advise you we require an additional 30 days.
E. Right to an Accounting of
Disclosures. You have the right
to request a list accounting for any
disclosures of your protected health
information we have made, except for uses
and disclosures for a) treatment, payment,
and health care operations, b) disclosures
to you, c) disclosures pursuant to your
authorization, and d) disclosures for
certain other limited reasons specified by
law. To request a list of disclosures,
please contact our Privacy Officer by e-mail
at the address listed below, and obtain our
"Request for an Accounting of
Disclosures of Protected Health
Information" form, and submit the
completed form to the Privacy Officer. Your
request must state a time period which may
not be longer than six years, and may not
include dates before April 14, 2003. The
first list you request within a 12 month
period will be free. For additional lists,
we may charge you for the costs of providing
the list. We will mail you a list of
disclosures within 60 days of your request,
unless we advise you we require a period of
up to an additional 30 days to comply with
your request.
F. Right to a Paper Copy of this
Notice. You have the right to
obtain a paper copy of this notice at any
time. To obtain a paper copy, please request
it from our Privacy Officer at the address
listed below. You may also view and print a
copy of our Notice of Privacy Practices at www.GetSmartViagra.com
or this website.
G. Effective Date.
This revised Notice of Privacy Practices is
effective on May 5, 2003; and pertains to
all protected health information we
maintain.
H. Changes to this Notice.
We reserve the right to change this notice,
and we may make the revised or changed
notice effective for all protected health
information we already have about you as
well as any information we receive in the
future. We will post a copy of the current
notice on our website. The notice will
contain an effective date. In addition, each
time you request medications from us, our
current Notice of Privacy Practices will be
available to you. Our current Notice of
Privacy Practices may be viewed on the GetSmartViagra.com
website, and may be obtained by requesting
it by telephone or by e-mail from our
Privacy Officer.
I. Complaints. We
are committed to safeguarding your protected
health information. Despite our good faith
efforts, questions, concerns, mistakes, and
misunderstandings may arise. If you have a
concern or believe that we may have violated
your privacy rights, we encourage you to
bring that to our attention.
You may bring any complaints or concerns
regarding your privacy rights to our
attention by calling 866-844-0014 and
requesting to speak with our Privacy Officer
or their authorized representative. If you
prefer, you may submit a complaint in
writing to our Privacy Officer to Privacy@GetSmartViagra.com.
You also may complain to the Secretary of
the Department of Health and Human Services
or his or her authorized representative if
you believe your privacy rights have been
violated.
We take all concerns and complaints very
seriously and will investigate each one
promptly. If we made a mistake, we will do
what we can to correct it and take steps to
prevent mistakes in the future. Under no
circumstances will we retaliate against you
for expressing a concern or filing a
complaint relating to your privacy rights.
J. Privacy Officer and Privacy
Contact Person. If you have any
questions about this notice or wish to
exercise any of your privacy rights, please
contact GetSmartViagra Privacy Officer, or
their authorized representative, by e-mail
to Privacy@GetSmartViagra.com,
or by calling the following telephone number
866-369-3003.
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