At Circadian Rejuvenation, we understand the importance of safeguarding your medical information and ensuring your privacy. This HIPAA Privacy Notice outlines how we protect your health information in accordance with the Health Insurance Portability and Accountability Act (HIPAA). Please read this notice carefully to understand your rights and how we handle your medical information.

Effective Date:

Effective Date: October 12, 2020

Explanation of Applicability:

This Notice only applies to our 503A compounding pharmacy in Tampa, which fills patient-specific prescriptions.

Your Rights Under HIPAA:

As an individual patient receiving services at our pharmacy, you have the following rights under HIPAA:

• Get a copy of your paper or electronic medical record: You can request a copy of your medical record and other health information we have about you.
• Correct your paper or electronic medical record: If you believe your medical record is incorrect or incomplete, you can request corrections.
• Request confidential communication: You can ask us to contact you using specific methods or send mail to a different address to protect your privacy.
• Ask us to limit the information we share: You have the right to request limitations on how we use or share your health information.
• Get a list of those with whom we’ve shared your information: You can receive a list of disclosures of your health information.
• Get a copy of this privacy notice: Request a paper copy of this notice even if you’ve agreed to receive it electronically.
• Choose someone to act for you: If you have a medical power of attorney or a legal guardian, that person can act on your behalf regarding your health information.
• File a complaint: If you believe your privacy rights have been violated, you can file a complaint with us or the U.S. Department of Health and Human Services Office for Civil Rights. We will not retaliate against you for filing a complaint.

Patient Choices:

For certain health information, you have the right and choice to tell us how to use and share it. You can:

• Share information with your family, close friends, or others involved in your care. If you’re unable to provide preferences, we may share information in your best interest or when necessary for health and safety.
• We never share your information unless you give us written permission for: Marketing purposes and the sale of your information.

How You Use and Disclose Health Information:

We use and share your health information for various purposes, including:

• Treating you
• Running our organization
• Billing for your services
• Helping with public health and safety issues
• Complying with the law
• Working with medical examiners, funeral directors, and other government requests
• Responding to lawsuits and legal actions

Privacy Responsibilities:

We are required by law to maintain the privacy and security of your protected health information. We will promptly inform you if a breach occurs that may compromise your information.

Changes to the Terms:

We reserve the right to change the terms of this notice, and such changes will apply to all patient information we hold. The updated notice will be available upon request, in our office, and on our website.

The Florida Information Protection Act (FIPA):

As required by HIPAA Privacy Rule, we follow stricter notification rules in FIPA.

Contact Information:

If you have questions, concerns, or wish to exercise your rights, please contact us:

Attn: Dr. Alan J. Plese

Circadian Rejuvenation

3120 Latrobe Drive, Suite 140

Charlotte, NC 28211

Phone: +1 980 220 3361

You can also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights.

Copyright Information:

Copyright © 2022 Circadian Rejuvenation, all rights reserved. 3120 Latrobe Drive Suite 140, Charlotte, NC 28211 (980) 220-3361

By providing this comprehensive information on your HIPAA Privacy page, you ensure that patients are well-informed about their rights, your privacy practices, and how their medical information is handled in compliance with HIPAA regulations.