• You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. To receive a copy of your records, you can:
  • Access them online through GiveBackRx portal and select “My Purchases” and “My Profile” to view information stored
  • Request a printed version by emailing us at support@givebackrx.com
• We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee for printed materials. In some limited circumstances, we may say “no” to your request, and you can ask that the denial be reviewed.

• Marketing purposes (except as described below)
• Sale of your information
• Most sharing of psychotherapy notes

• We may contact you and use certain information about you for fundraising efforts, but you can tell us not to do so. We may use a business associate or institutionally related foundation for these contacts.

• We can use or share your information for health research as permitted by laws and rules.

• We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.

• We can share health information about you with organ procurement organizations and tissue banks.

• We can share health information with a coroner, medical examiner, or funeral director when an individual dies.
• We may share your information after your death to the extent permitted by federal HIPAA rules

• We can use or share health information about you:
• 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

• We can share health information about you in response to a court or administrative order, or in response to a subpoena. We can also share information when a protective order is in place.

• We are required by law to maintain the privacy and security of your protected health information.
• While we take privacy and security very seriously, sometimes things go wrong. We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
• We must follow the duties and privacy practices described in this notice and give you a copy of it.
• We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.
• We will comply with state law. We will obtain your written consent for certain disclosures if your consent is required under state law.

For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.