Baker Express 

Pharmacy                             

1842 N. Highway 81
Duncan, OK 73533

ph: 580-255-3784
fax: 580-252-6278
alt: 580-255-3787

Copyright 2011 Baker Express Pharmacy. All rights reserved.

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1842 N. Highway 81
Duncan, OK 73533

ph: 580-255-3784
fax: 580-252-6278
alt: 580-255-3787

HIPAA NOTICE 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. Baker Express Pharmacy works wIth you to provide quality prescriptions. This Notice of Privacy Practices ("notIce") describes: How we may use and disclose your medical information Your rights to access and amend your medical information We are required by law to: Maintain the privacy of your medical information Provide you with notice of our legal duties and privacy practices with respect to your medical information Abide by the terms of this notice Permitted Uses and Disclosures of your Medical Information As p.:rmittl'd by your health plan or prcs,'riptioll henelit plan. We Inay use and disclose your n1t'dical infimnauon for the fi,lIo\\'ing purposes only: Treatment We may usc and disdo,e your mcdkal intbrmationto healthearc pmkssiolluls to provide. coordinate amlm:lnagc the delivery ofmcuical items or servkcs. For e'(ample. our phannm:ist Illay disch)sc medical int()fmation ahont you to your physiei,m in order to coordinate the pr.:scribUlg and ddiver) of your medications. We will till and send to you orders that vou senu to Baker Express Pharmacy. Payment We may usc and disclose medical int()rmalion about VOI1 to l11allag~ ~our account and process your claims t(lr medications you haw received. For example. we may provide YOli \\ith claim t(mm containing your inl,lnnallolJ for you to submit to )Ollr health plan or employer lor paY1l1ent. Healthcare Operations We lIIay lise and disdose your lHedical information to carryon our ()wn business planning and hcalthcarc operations. We need to do this so we can provl(k yon with phannac~' bend!ts and ensure you reedvc the high.:st-lluulity services. For c)( We have taken a<:1 ion in reliance upon it. Your Rights With Respect to Your Medical Information You have the 1\)11('\\illg rights regarding medical inl,mnation wemailllain.lb ut vou: Right to Inspect and Copy Subject to some restrictions. you may' inspect and copy medical int(lrmation that may be used to make dccisi()lls about you. To do so. submit a \\Tinen request to Baker Express Pharmacy at Ihe address Iistcd belp\\,. Right to Amend If you believe medical information about )OU is incorrect or incomplete, you may ask us to amenu the information. Sll!:h request must be made in writing and submitted to l~a"er Express Phal1llacy at the address Iisled below. In addition. YOUlIlllst proyidc a reason supporting your request to amend. Right to an Accounting of Disclosures You have the righl to request an acw1111ling (,I' Jisclosurc,