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NOTICE OF PRIVACY PRACTICES


THIS NOTICE EXPLAINS HOW YOUR PROTECTED HEALTH INFORMATION MAY BE USED AND DISCLOSED AND YOUR RIGHTS ABOUT YOUR HEALTH INFORMATION.
PLEASE READ THIS CAREFULLY.

This notice describes and explains the privacy practices of ultratabs.info (“ultratabs.info” or the “Site”). The physicians providing medical consultations and the pharmacies filling prescriptions for the Site have agreed to abide by the terms of this Notice of Privacy Practices. For your convenience, we are providing one notice to you.

Maintaining the privacy of your health-related information is very important to ultratabs.info. This privacy notice and the privacy practices explained here confirm our duty to protect your private health information.

Your Health Care Information is Your Personal Information
Information about your prescriptions and your health care needs is your private, personal information. To process your prescription, however, we must create records that contain information about you and your health. These records may include your medical records and other personally identifiable health information such as medical questionnaires, prescription profiles, prescriptions and billing records. The law requires us to give you written notice of our privacy practices, that is, how we handle your personal health information. The law also requires us that we follow the terms of our privacy notice. This Notice of Privacy Practices describes how we protect the confidentiality of your health information. This notice also describes your rights concerning your health information including your right to inspect and amend your personal health information in our records. The law requires that we keep your protected health information confidential subject to requirements that authorize or require disclosure under limited circumstances.

How We May Use and Disclose Your Health Information
Unless you give us written authorization, we will not use and/or disclose your protected health information, except under limited circumstances required by law and explained below. If you give us authorization to release protected health information, you may revoke the authorization in writing at any time, except to the extent we have already disclosed information pursuant to the authorization.

Under the law, we are permitted to use and/or disclose your protected health information for the following purposes:

1. Fill Your Prescriptions We may use or disclose your protected health information for the purpose of providing treatment to you. We fill your prescriptions and allow physicians to evaluate your prescriptions needs as well as whether a particular prescription is appropriate for you. For example, if you request a prescription, a licensed physician will evaluate whether you meet the criteria for the issuance of the prescription based upon the health information you provide. The prescription, along with any health information that you provide, will be disclosed to a licensed pharmacy for the purpose of filling the prescription.


2. Obtain Payment for Prescriptions We obtain payment for our services through your credit card company. The only information we share with your credit card company is your first and last name, billing address, phone number and credit card information. We do not share any information with your credit card company that discloses the type of medication that you have purchased. All personal and credit card information is submitted using Secure Encryption Technology.

3. For Health Care Operations We may use or disclose health information for our operational purposes. For example, we may use information concerning your prescription to evaluate our customer service. Also, physicians, and pharmacies involved with your prescription needs may disclose health care information to each other to provide treatment to you, to operate the business or to obtain payment for services rendered.

4. Refill Reminders and Information about Treatment Alternatives We may use your health care information to contact you by e-mail for the purpose of reminding you that it is time to refill your prescription or to inform you about treatment alternatives or other health related benefits and services that may be of interest to you. Please advise us by e-mail or normal post at the address provided at the end of this notice if you do not wish us to contact you concerning refill reminders, treatment alternatives, or other health-related benefits and services that may be of interest to you.

5. Disclosures as Required by Law We may use or disclose protected health information if required to do so by federal, state, or local law. The use or disclosure will be made in compliance with the law and will be limited to the specific requirements of the law. For example, we may be required to disclose your health information in relation to cases of suspected abuse

6. Disclosures for Public Health Activities We may be required to disclose protected health information for public health activities to a public health authority authorized by law to collect or receive this information, such as the local health authority, for the purpose of preventing or controlling disease, injury, or disability.

7. Disclosures to Coroners and Medical Examiners We may be required to disclose health information about patients who have died to coroners and medical examiners so they may carry out their duties, such as determining the cause of death.

8. Disclosures Concerning Organ Donors If you are an organ donor, we may be asked to disclose information concerning your health or drugs that we have prescribed to organ procurement organizations, eye banks, and other similar organizations for the purpose of facilitating organ, eye or tissue donation and transplantation.

9. Disclosures to Avert a Serious Threat to Health As required by law and standards of ethical conduct, we are permitted to release your health information to the proper authorities if we believe, in good faith, that such release is necessary to prevent or minimize a serious and imminent threat to health or safety.

10. Disclosures for Health Oversight Activities We are permitted to disclose your health information to a health oversight agency for monitoring and oversight activities authorized by law. This may include the release of information to the state agency that licenses pharmacies for the purpose of monitoring or inspecting the pharmacy that we use to fill your prescription.


11. Disclosures for Workers Compensation Purposes We may be required to release protected health information about you to the extent necessary for workers compensation or other similar-type programs that provide benefits for work related injuries or illness.

12. Disclosures to Business Associates We may contract with another business to assist us with our health care operations. In the event that it is necessary to disclose protected health information to these business partners/associates, our written agreement with them will require these business associates to keep protected health information confidential and secure.


Your Rights Regarding Your Health Care Information

Your Right to Request Confidential Communications We communicate with customers primarily by e-mail at the e-mail address that you provide to us and we ship your prescription to the address you provide. However, you have the right to request that we communicate with you in a certain way or to a certain location. For example, you may request that we only contact you by mail and send the correspondence to a private post office box. We will not ask you the reason for your request.

To request us to communicate with you at a particular location or in a particular manner, please email or mail the request to the address provided at the end of this notice.

Your Right to Request Restrictions You have the right to ask for restrictions on how your health information is used or to whom your information is disclosed, even if the restriction affects your treatment, our payment or our health care operation activities. However, we are not required to agree to your requested restriction and even if we agree to the requested restriction, we are permitted to use your information without complying with the restriction if necessary to treat you in an emergency situation.

To request a restriction, please email or mail the request to the address provided at the end of this notice.

Your Right to Inspect and Obtain a Copy of Your Health Information You have the right to inspect and obtain a copy of the health information that we maintain about you. This includes prescription records and billing records. To inspect or request a copy of your health information, please email or mail the request to the address provided at the end of this notice specifying the records you would like to inspect or to have us copy for you. If you request a copy of the records, we may charge a fee for the cost of copying, mailing, or for any services associated with your request. In certain very limited circumstances, the law provides that we may deny your request to inspect or copy these records. If you are denied access to health information, you may request that the denial be reviewed by a licensed health care professional chosen by us who did not participate in the original decision to deny your access, to review your request and the reasons for the denial.

Your Right to Request an Amendment to Your Health Information If you believe any of health information in your medical records is incorrect, you may ask us to amend the information. To request an amendment, please email or mail the request to the address provided at the end of this notice and include the requested amendment along with the reason that you believe that your health information should be amended. We are not required to honor your request if we did not create the information you are requesting to be amended or if the information in your record is correct. We will respond to your request in writing within 60 days of the date of receipt of your written request for amendment of your information, unless we advise you we require an additional 30 days.

Your Right to an Accounting of Disclosures We Made You have the right to request from us a list of any disclosures of your health information that we have made, except for uses and disclosures that are for treatment, payment, and health care operations, disclosures to you, disclosures you have authorized and disclosures for certain other limited reasons specified by law. To request a list of disclosures, please email or mail the request to the address provided at the end of this notice. Your request must state a time period that may not be longer than six years and may not include dates prior to April 14, 2003. The first list that you request within a 12-month period will be free. For additional lists, we may charge you for cost of providing the list. We will mail you a list of disclosures within 60 days of your request, unless we advise you that we require a period of up to an additional 30 days to comply with your request.

Your Right to a Paper Copy of this Notice You have the right to obtain a paper copy of this notice at any time. To obtain a paper copy, please email or mail the request to the address provided at the end of this notice. You may also view and print a copy of our Notice of Privacy Practices at www.ultratabs.info.

Effective Date This Notice of Privacy Practices is effective April 14, 2003 and pertains to all protected health information we maintain in our records on you.

Changes to this Notice We reserve the right to change this notice at any time. We may make the revised notice effective for all protected health information we already have about you as well as any information we receive in the future. We will post a copy of the current notice on our website. The notice will contain an effective date. In addition, each time you request a medication from the web site, our current Notice of Privacy Practices will be available to you. Our Notice of Privacy Practices is available at www.ultratabs.info and you may email or mail a request to the address provided at the end of this notice.

Complaints If you have any questions, concerns or complaints about your privacy rights or the treatment of your personal health information, please email or mail us at the address provided at the end of this notice.

Privacy Officer and Privacy Contact Information If you have any questions about this notice or wish to exercise any of your privacy rights, please contact our Privacy Officer or the authorized representative by e-mail: Privacy@ultratabs.info .