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.
Draft for attorney review before launch.
Effective date: [To be confirmed by the pharmacy at launch]
Who we are
This notice describes the privacy practices of Orland Pharmacy, 14322 S Will Cook Rd, Homer Glen, IL 60491, (708) 726-5700. We are required by law to maintain the privacy of your protected health information, to give you this notice of our legal duties and privacy practices, and to follow the terms of the notice currently in effect.
How we may use and disclose your health information
- Treatment. We use your health information to fill your prescriptions, check for drug interactions, administer immunizations, and coordinate with your prescribers and other pharmacies, for example when transferring a prescription at your request.
- Payment. We use and disclose your health information to bill and collect payment from your insurance plan or other payers.
- Health care operations. We may use your information to run the pharmacy, improve our services, and train staff.
- Refill reminders and communications. We may contact you about refills, medication synchronization, deliveries, and services that may benefit you.
- As required by law. We disclose information when federal, state, or local law requires it, including to public health authorities, the Illinois immunization registry, and prescription monitoring programs.
- With your written permission. Any use or disclosure not described in this notice will be made only with your written authorization, which you may revoke at any time. We never sell your health information, and we do not use it for marketing without your authorization.
Your rights
- See and copy your records. You may ask to inspect or receive a copy of your pharmacy records, usually within 30 days of your request.
- Correct your records. You may ask us to amend information you believe is incorrect or incomplete.
- Restrict certain disclosures. You may request limits on how we use or share your information. If you pay for a prescription in full out of pocket, you may require us not to share that prescription with your health plan.
- Confidential communications. You may ask us to contact you in a specific way, for example only at a certain phone number, or to hand deliveries only to you.
- List of disclosures. You may request an accounting of certain disclosures we have made of your information.
- Paper copy. You may request a paper copy of this notice at any time at our counter.
- Breach notification. We will notify you if a breach occurs that may have compromised the privacy or security of your information.
Complaints and questions
If you believe your privacy rights have been violated, you may file a complaint with us or with the U.S. Department of Health and Human Services Office for Civil Rights. You will not be penalized or retaliated against for filing a complaint.
Contact our privacy official: Orland Pharmacy, 14322 S Will Cook Rd, Homer Glen, IL 60491 · (708) 726-5700 · orlandparkrx@gmail.com
Changes to this notice
We reserve the right to change this notice and to make the revised notice effective for all health information we maintain. The current notice is always posted in the pharmacy and on this page.
A note about this website
Our website form collects contact information only (your name and phone number) so a pharmacist can call you back. Please do not send medication names, prescription numbers, or other health information through the website. For details on website data, see our Website Privacy Policy.