Our Commitment to Your Privacy

At Mitten Family Pharmacy, we understand that your health information is personal. We are committed to protecting your protected health information (“PHI”) and maintaining your privacy in accordance with the Health Insurance Portability and Accountability Act (HIPAA).

This Notice outlines how we may use and disclose your PHI, your rights regarding your information, and our responsibilities.

How We May Use and Disclose Your Health Information

1. For Treatment

We use your PHI to provide and coordinate your care—such as filling prescriptions, contacting your prescribers, and counseling you about your medications.

2. For Payment

We may use and share your PHI to process insurance claims, verify coverage, and collect payment for services provided.

3. For Healthcare Operations

We may use your PHI for activities that help us operate and improve our services, including quality assessment, staff training, customer service, and evaluating pharmacy performance.

Other Ways We May Use or Share Your Information

We may also use or disclose your PHI for the following purposes when permitted or required by law:

  • Public health activities (e.g., preventing disease, reporting adverse events)

  • Health oversight activities (e.g., audits, inspections)

  • Law enforcement purposes (when required)

  • Reporting abuse, neglect, or domestic violence

  • To avert a serious threat to health or safety

  • Workers’ compensation claims

  • Coroners, medical examiners, and funeral directors

  • Specialized government functions, such as military or national security

  • As required by a court order or subpoena

Uses and Disclosures That Require Your Authorization

We will not use or share your PHI for purposes such as:

  • Marketing

  • Sale of your information

  • Most sharing of psychotherapy notes

…unless you give us written authorization. You may revoke this authorization at any time.

Your Rights Regarding Your Health Information

1. Right to Access

You have the right to view or request a copy of your PHI, including prescription records. We may charge a reasonable fee for copies.

2. Right to Request Corrections

If you believe your information is inaccurate or incomplete, you may request a correction.

3. Right to Request Restrictions

You may ask us to limit how your PHI is used or disclosed. While we are not required to agree to all requests, we will comply when legally required.

4. Right to Request Confidential Communications

You may request that we contact you using specific methods (e.g., at a certain phone number, email, or address).

5. Right to an Accounting of Disclosures

You may request a list of certain disclosures we have made of your PHI.

6. Right to a Paper or Electronic Copy of This Notice

You may request a physical or digital copy at any time.

Our Responsibilities

Mitten Family Pharmacy is required by law to:

  • Maintain the privacy and security of your PHI

  • Provide you with this Notice of Privacy Practices

  • Follow the terms of the Notice currently in effect

  • Notify you promptly if a breach occurs that compromises your unsecured PHI

We reserve the right to revise this Notice. Any updates will be posted on our website and available in our pharmacy.

Questions or Concerns?

If you have questions about this Notice or about how your information may be used, please contact:

Mitten Family Pharmacy
📍 3108 Van Horn Rd. Trenton, MI
📞 734.799.9000
📧 info@mittenrx.com

If you believe your privacy rights have been violated, you may file a complaint with us or directly with the U.S. Department of Health & Human Services. You will not be retaliated against for filing a complaint.