HIPAA PRIVACY NOTICE

Kings Park Slope, Inc. d/b/a Kings Pharmacy
Notice of Privacy Practices
Effective Date: April 14, 2003 Revision Date: June 1, 2007

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.

We understand that your medical information is personal. We are committed to protecting your medical information. Our pharmacy is required by law to maintain the privacy of your protected health information ("PHI"), to follow the terms of this Notice, and to give you this Notice of our legal duties and privacy practices concerning your health information. We must follow the terms of the current Notice.

How our Pharmacy May Use or Disclose Your Health Information

• For Treatment We may use your PHI to dispense prescriptions to you.
  We may disclose your PHI to treating physicians, pharmacists and other persons who are involved in your healthcare treatment.
• For Payment We may use and disclose your PHI so that we can bill and collect payment from you, your insurance company or a third party.
• For Health care operations. We may use and disclose your PHI for pharmacy operations, which include activities necessary to run the Pharmacy and make sure that you receive quality customer service.
• For Prescription Refill Reminders and Health-Related Products and Services. We may use or disclose your PHI for prescription refill reminders, to tell you about health-related products or services, or to recommend possible treatment alternatives that may be of interest to you.
• Individuals Involved in Your Care or Payment for Your Care. We may disclose your PHI to a family member or friend who is involved in your medical care or payment for your care, provided you agree to this disclosure, or we give you an opportunity to object to the disclosure. If you are unavailable or are unable to object, we will use our best judgment to decide whether this disclosure is in your best interests.
• As Required by Law. We will disclose your PHI when required to do so by federal, state or local law. We will disclose your PHI when required to do so by federal, state or local law. Pharmacy and make sure that you receive quality customer service.
• To Avert a Serious Threat to Health or Safety. We may use and disclose your PHI when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person. Any disclosure, however, would only be to someone able to help prevent the threat.
• Public Health Risks. We may disclose your PHI for public health activities, such as those aimed at preventing or controlling disease, preventing injury, reporting reactions to medications or problems with products, and reporting the abuse or neglect of children, elders, and dependent adults.
• For Health Oversight Activities. We may disclose PHI to a health oversight agency for activities authorized by law. These oversight activities, which are necessary for the government to monitor the health care system, include audits, investigations, inspections and licensure.
• Lawsuits and Disputes. If you are involved in a lawsuit or dispute, we may disclose your PHI in response to a court or administrative order. We may also disclose your PHI in response to a subpoena, discovery request or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request (which may include written notice) or to obtain an order protecting the information requested.
• Specialized Government Functions. We may disclose your PHI (1) if you are a member of the armed forces, as required by military command authorities; (2) if you are an inmate or in custody, to a correctional institution or law enforcement official; (3) in response to a request from law enforcement, under certain conditions; (4) for national security reasons authorized by law; and (5) to authorized federal officials to protect the President, other authorized persons, or foreign heads of state.
• WorkersÍ Compensation. We may disclose your health information for workersÍ compensation or similar programs.
  Organ and Tissue Donation. We may also disclose your PHI to organ procurement or similar organizations for purposes of donation or transplant.
• Coroners and Funeral Directors. Upon your death, we may release your PHI to a coroner or medical examiner, for example, to determine cause of death. We may also disclose your PHI to funeral directors consistent with applicable law to enable them to carry out their duties.
• Personal Representatives. We may disclose your PHI to a person legally authorized to act on your behalf, such as a parent, legal guardian, administrator or executor of your estate, or other individual authorized under applicable law.