Notice of Privacy Practices

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.

Last Updated: July 20th, 2018

Alto Pharmacy is committed to protecting your privacy and protected health information (“PHI”). PHI is information about you, including basic demographic information, that may identify you and that relates to your past, present or future physical or mental health or condition and related health care services. This Notice of Privacy Practices (“Notice”) describes how we may use and disclose PHI about you to carry out treatment, payment or health care operations and for other specified purposes that are permitted or required by law. The Notice also describes your rights under federal and state law relating to your PHI.

Alto Pharmacy is required by law to abide to the terms of this Notice, which explains our legal duties and privacy practices with respect to PHI that we collect and maintain. We are required by law to provide you with a copy of this Notice and to notify you following a breach of your unsecured health information. Alto Pharmacy will not use or disclose PHI about you without your written authorization, except as described in this Notice. We reserve the right to change the privacy practices outlined in this Notice, and make the new notice effective for PHI we maintain and for any PHI we receive in the future. Should we make such a change, we will display the revised notice to you online, and make it available to you upon request.

Your Health Information Rights

You have the following rights with respect to PHI about you as a patient. These rights include:

Examples of how we may use and disclose PHI

The following categories below describe how Alto Pharmacy may use and disclose your PHI. We have provided you with examples, but not every permissible use or disclosure may be listed.

We are likely to use or disclose PHI for the following purposes:

Please be aware that state and other federal laws may have additional requirements that we must follow or may be more restrictive than HIPAA on how we use and disclose your health information. If there are specific more restrictive requirements, even for some of the purposes listed above, we may not disclose your health information without your written permission as required by such laws. For example, we will not disclose your HIV test results without obtaining your written permission, except as permitted by state law. We may also be required by law to obtain your written permission to use and disclose your information related to treatment for a mental illness, developmental disability, or alcohol or drug abuse.

We are also permitted to use or disclose PHI about you for the following purposes:

  • Research: Under certain circumstances, we may disclose PHI about you to researchers when their research has been approved by an institutional review board that has reviewed the research proposal and established protocols to ensure the privacy of your information.
  • Coroners, medical examiners, and funeral directors: We may release PHI about you to a coroner or medical examiner. This may be necessary, for example, to identify a deceased person or determine the cause of death. We may also disclose PHI to funeral directors consistent with applicable law to carry out their duties.
  • Organ or tissue procurement organizations: Consistent with applicable law, we may disclose PHI about you to organ procurement organizations or other entities engaged in the procurement, banking, or transplantation of organs for the purpose of tissue donation and transplant.
  • Notification: We may use or disclose PHI about you to notify or assist in notifying a family member, personal representative, or another person responsible for your care, your location, and general condition. We may also use or disclose your health information to disaster-relief organizations so that your family or other persons responsible for your care can be notified about your condition, status, and location.
  • Correctional institution: If you are or become an inmate of a correctional institution, we may disclose PHI to the institution or its agents when necessary for your health or the health and safety of others.
  • To avert a serious threat to health or safety: When necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person, we may use and disclose your health information in a very limited manner to someone able to help lessen the threat.
  • Military and veterans: If you are a member of the armed forces, we may release PHI about you as required by military command authorities. We may also release PHI about foreign military personnel to the appropriate military authority.
  • National security and intelligence activities: We may release PHI about you to authorized federal officials for intelligence, counterintelligence, and other national security activities authorized by law.
  • Protective services for the President and others: We may disclose PHI about you to authorized federal officials so they may provide protection to the President, other authorized persons or foreign heads of state or conduct special investigations.
  • Victims of abuse, neglect, or domestic violence: We may disclose PHI about you to a government authority, such as a social service or protective services agency, if we reasonably believe you are a victim of abuse, neglect, or domestic violence. We will only disclose this type of information to the extent required by law, if you agree to the disclosure, or if the disclosure is allowed by law and we believe it is necessary to prevent serious harm to you or someone else or the law enforcement or public official that is to receive the report represents that it is necessary and will not be used against you.

Other Uses and Disclosures of PHI

The Pharmacy will obtain your written authorization before using or disclosing PHI about you for purposes other than those provided above or as otherwise permitted or required by law. If you change your mind after authorizing a use or disclosure of your health information, you may withdraw your permission by revoking this authorization in writing at any time by sending a written request to Alto Pharmacy, 1400 Tennessee St, Unit 2, San Francisco, California 94107, Attn: Privacy Officer. Upon receipt of the written revocation we will stop using or disclosing PHI about you. However, your decision to revoke the authorization will not affect or undo any use or disclosure of your health information that occurred before you notified us of your decision, or any actions that we have taken based upon your authorization.

For more information or to Report a Problem

If you have questions or would like additional information about the Pharmacy's privacy practices, you may send a request to privacy@alto.com or call 1 (800) 874-5881 and speak to the Privacy Officer.

If you believe your privacy rights have been violated, please let us know as soon as possible by contacting privacy@alto.com, or by calling 1 (800) 874-5881, so that we can try to remedy the situation as quickly as possible. You also have the right to report a complaint to the Secretary of Health and Human Services. Rest assured, there will be no retaliation or penalization for filing a complaint regarding our privacy practices.

Privacy Officer Contact Information

Amil Patel, PharmD
Pharmacist-in-charge
Alto Pharmacy
1400 Tennessee St, Unit 2
San Francisco, California 94107

Email Address: privacy@alto.com

Telephone number: 1 (800) 874-5881