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.
Your Information.
Your Rights.
Our Responsibilities.
Notice of Privacy Practices
When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.
Get an electronic or paper copy of your medical record
•You can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this.
•We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.
Ask us to correct your medical record
•You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this.
•We may say “no” to your request, but we’ll tell you why in writing within 60 days.
Request confidential communications
•You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.
•We will say “yes” to all reasonable requests.
Ask us to limit what we use
or share
•You can ask us not to use or share certain health information for treatment, payment, or our operations.
•We are not required to agree to your request, and we may say “no” if it would affect your care.
•If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or reoperations with your health insurer.
•We will say “yes” unless a law requires us to share that information.
Notice of Privacy Practices •
Your Rights
Get a list of those with whom we’ve shared information
•You can ask for a list (accounting) of the times we’ve shared your health information for six years prior to the date you ask, who we shared it with, and why.
•We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We’ll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.
Get a copy of this privacy notice
•You can ask for a paper copy of this notice at anytime, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.
Choose someone
to act for you
•If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
•We will make sure the person has this authority and can act for you before we take any action.
File a complaint if you feel your rights are violated
•You can complain if you feel we have violated your rights by contacting us using the information on the back page.
•You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/.
•We will not retaliate against you for filing a complaint.
Your Choices
For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.
In these cases, you have both the right and choice to tell us to:
• Share information with your family, close friends, or others involved in your care
• Share information in a disaster relief situation
• Include your information in a hospital directory
If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.
In these cases we never share your information unless you give us written permission:
•Marketing purposes
•Sale of your information
•Most sharing of psychotherapy notes
In the case of fundraising:
• We may contact you for fundraising efforts, but you can tell us not to contact you again.
How do we typically use or share your health information?
We typically use or share your health information in the following ways.
Treat you
• We can use your health information and share it with other professionals who are treating you.
Example: A doctor treating you for an injury asks another doctor about your overall health condition.
Run our organization
• We can use and share your health information to run our practice, improve your care, and contact you when necessary.
Example: We use health information about you to manage your treatment and services.
Bill for your services
• We can use and share-out health information to bill and get payment from health plans or other entities.
Example: We give information about you to your health insurance plan so it will pay for your services.
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Our Uses and Disclosures
How else can we use or share your health information?
We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes. For more information see:
www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html.
Help with public health and safety issues
• We can share health information about you for certain situations such as:
• Preventing disease
• Helping with product recalls
• Reporting adverse reactions to medications
• Reporting suspected abuse, neglect, or domestic violence
• Preventing or reducing a serious threat to anyone’s health or safety
Do research
• We can use or share your information for health research.
Comply with the law
• We will share information about you if state or federal laws require it, including with the Department of Health and Human Services if it wants to see that we’re complying with federal privacy law.
Respond to
organ and tissue donation requests
• We can share health information about you with organ procurement organizations.
Our Uses and Disclosures
Work with a medical examiner or funeral director
• We can share health information with a coroner, medical examiner, or funeral director when an individual dies.
Address workers’ compensation, law enforcement, and other government requests
• For law enforcement purposes or with a law enforcement official
•For workers’ compensation claims
• For law enforcement purposes or with a lawenforcement official
• With health oversight agencies for activities authorized by law
• For special government functions such as military, national security, and presidential protective services
Respond to lawsuits and legal actions
• We can share health information about you in response to a court or administrative order, or in response to a subpoena.
• We are required by law to maintain the privacy and security of your protected health information.
• We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
• We must follow the duties and privacy practices described in this notice and give you a copy of it.
• We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.
"If you consent to receive SMS from Wellness 1st Pharmacy, you agree to receive SMS, text, video SMS etc. from us. Reply STOP to opt-out; Reply HELP for support; Message & data rates may apply; Messaging frequency may vary. Visit www.wellness1stpharmacy.com to see our privacy policy and terms and conditions."
SMS consent and phone numbers are not shared with any third parties/affiliates for marketing purposes.
For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.
Changes to the Terms of This Notice
We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our web site.
Our Responsibilities
This Notice of Privacy Practices applies to the following organizations.
If you have questions about our privacy policies, need assistance with your PHI, or
wish to file a complaint, please contact:
Privacy Official: Gerard Mohammed
Phone: 832-656-4410
Email: jmohammed@wellness1stpharmacy.com
Mailing Address: 8603 Broadway St. Ste 110 Pearland Tx, 77584
1- SMS Consent Communication:
Information (Phone Numbers) obtained as part of the SMS consent process will not be shared with third parties for marketing purposes.
2- Types of SMS Communications:
If consent has been given to receive text messages from Wellness 1st Pharmacy, messages may be received related to the following:
Appointment reminders
Follow-up messages
Billing inquiries
Promotions or offers (if applicable)
Example: "Hello, this is a reminder of your upcoming refill with Wellness 1st Pharmacy at 8603 Broadway St. Ste 110, Pearland, Tx 77584 on 03/25/2025. Reply STOP to opt out of SMS messaging at any time."
3- Message Frequency:
Message frequency may vary depending on the type of communication. For example, up to 2 SMS messages per week may be received related to [prescription refills/billing, etc.].
Example:
"Message frequency may vary. You may receive up to 2 SMS messages per week regarding your appointments or account status."
4- Potential Fees for SMS Messaging:
Standard message and data rates may apply, depending on the carrier's pricing plan. These fees may vary if the message is sent domestically or internationally.
5- Opt-In Method:
Opt-in to receive SMS messages from Wellness 1st Pharmacy can be done in the following ways:
Verbally, during a conversation
By submitting an online form
By filling out a paper form
6- Opt-Out Method:
Opting out of receiving SMS messages can be done at any time by replying "STOP" to any SMS message received. Alternatively, direct contact can be made to request removal from the messaging list.
7- Help:
For any issues, reply with the keyword HELP. Alternatively, help can be obtained directly from us at www.wellness1stpharmacy.com
Additional Options:
If SMS messages are not desired, the SMS consent box on forms can be left unchecked.
8- Standard Messaging Disclosures:
Message and data rates may apply.
Opt out at any time by texting "STOP."
For assistance, text "HELP" or visit our [Privacy Policy] and [Terms and Conditions] pages.
Message frequency may vary
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