RESOURCES
In accordance to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), PharmaCare of Cumberland provides the
following privacy information and related forms dealing with privacy concerns. These are available for all PharmaCare of Cumberland
customers; if you have any questions regarding these practices of how your private health information is being handled, please contact
PharmaCare of Cumberland to discuss them.
Links to the documents appear below, along with a brief summary of the document. If you need the Microsoft Word Viewer to view these
documents, you can download it here.
Below are links to additional health-related information. The PharmaCare Network does not endorse, nor actively promote, these companies or organizations. These links are for your reference only.
Authorization form.doc
I hereby authorize PharmaCare of Cumberland, Maryland to use or disclose the above named individual's health information as
described below...
Complaint form.doc
Customer service and privacy are of utmost importance to PharmaCare. It is our policy to receive, respond, and resolve all
complaints regarding any allegations of improper use or disclosure of personal health information by PharmaCare or our Business
Associates.
You have the right to complete this form if so desired, or the complaint can remain anonymous. This complaint can be in writing
and delivered in person or by mail or e-mail. This complaint can also be verbal, either in person or over the telephone.
The privacy committee will review the information and make a decision as whether to investigate the issue and/or take
corrective action...
Notice of Privacy Practices Combined.doc
Understanding Your Health Information Rights
Your health record is the physical property of the health care practitioner or the facility that compiled the information,
but the content contained within the record is about you, and therefore the information belongs to you. You have the right
to request restrictions on certain uses and disclosures of your information as provided by 45 CFR 164.522; the covered entity
is not required to agree to a requested restriction. You have the right to inspect and copy your health record as provided
in 45CFR 164.524...
Medicaton Safety Brochure.pdf
