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Male Pharmacist

Notice of Privacy Practices & Communications

Effective Date: January 1, 2025

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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.

Our Commitment to Your Privacy

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At Custom Health Pharmacy, we are dedicated to protecting your personal health information. We create records about the care and services you receive to ensure quality care and meet legal requirements. We are required by federal law (HIPAA) to protect your identifiable health information and to give you this Notice of our legal duties and privacy practices.

How We May Use and Disclose Your Information

We are permitted to use and share your protected health information (PHI) for:

1. Treatment – Coordinating pharmacy services, medication counseling, compounding instructions, and collaboration with your providers.

2. Payment – Billing you, insurance companies, or other payers including claim submissions and benefit verification.

3. Healthcare Operations – Internal quality control, training, audits, and business operations to improve pharmacy services.

4. Appointment & Refill Reminders – We may call, text, or email you with prescription reminders or pharmacy appointment notices.

5. Health Products and Services – Informing you of health-beneficial products or wellness programs.

6. Family and Caregivers – With your consent, we may disclose PHI to family or others assisting in your care.

7. As Required by Law – For compliance with legal obligations, public health, or law enforcement requests.

Other Uses and Disclosures

We may disclose your PHI for:

  • Public health reporting

  • Health oversight investigations

  • Court-ordered legal proceedings

  • Law enforcement inquiries

  • Preventing serious health threats

  • Workers’ compensation cases

  • National security or military purposes

  • Correctional care (if applicable)

Your Rights Regarding Your Health Information
You have the right to:

  • Request confidential communication methods

  • Limit certain disclosures

  • Access and request copies of your records

  • Request corrections to your records

  • Obtain a list of disclosures

  • Request a paper copy of this notice

  • File a complaint without fear of retaliation

To exercise these rights, contact: 

Privacy Officer

Custom Health Pharmacy

844 Willard Dr Ste 7

Green Bay, WI 54304

920-884-7345

info@customhealthpharmacy.com

SMS Communications and Data Sharing
Custom Health Pharmacy offers SMS messaging for reminders, prescription updates, and wellness program communications.

  • Program Name: Custom Health SMS

  • Product Description: Messages may include refill reminders, service notices, and product-related information.

  • Message Frequency: Varies based on your interaction with the pharmacy

  • Message and Data Rates: May apply based on your mobile carrier plan

  • Customer Care Contact: 920-884-7345

  • Opt-Out Instructions: Text “STOP” to unsubscribe

We do not share your SMS opt-in status or consent with third parties for non-service-related purposes. We will not share your opt-in to an SMS campaign with any third party for purposes unrelated to providing you with the services of that campaign. We may share your Personal Data, including your SMS opt-in or consent status, with third parties that help us provide our messaging services, including but not limited to platform providers, phone companies, and any other vendors who assist us in the delivery of text messages.

Terms and Conditions
By using our services, including SMS communications, you agree to:

  • Provide accurate contact information

  • Notify us of changes to your mobile number

  • Receive periodic messages from Custom Health Pharmacy. Message frequency varies based on your engagement.

    • Opting In: By signing up for our SMS Program, you consent to receive informational messages (e.g. refill reminders, order status notifications, wellness tips or product recommendations, important pharmacy updates, appointment reminders) via text. Message and data rates may apply. Frequency may vary

    • Opting Out: Opt-outs must be done via text. To stop receiving texts, reply STOP to unsubscribe. Standard messaging and data rates may apply.

    • Support: For help, reply HELP to any message or email support@custompharmacy.com

  • Use communication services in accordance with your consent preferences

  • Understand that SMS is not a secure form of communication for sensitive PHI and is used only for non-clinical service notifications unless otherwise authorized.

We reserve the right to update our terms and practices as needed, in compliance with federal and state law.

Changes to This Notice
We may update this Notice at any time. Revised notices will apply to all existing and future PHI and will be posted online and available upon request.

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