PRIVACY POLICY   Your Privacy is Important to Us In order to safely and effectively monitor your prescription drug therapy and to better serve you, we have requested information such as date of birth, medical conditions, and known drug allergies. This information, as well as all personal information provided, is held in strict confidence. All medication is packaged in a plain weather-proof pouch for privacy and protection. Direct Pharmacy Service is in full compliance with the Health Insurance Portability and Accountability Act (HIPAA). Notice of Privacy Practices- This notice describes how medical information about patients may be used and disclosed and how patients can get access to this information.   View Notice of Privacy Practices   HIPAA forms- These forms are for patients to request changes to personal records, obtain copies of records, file complaints, etc.    Access Request for Personal Information form Request a copy of certain personal information.   Amendment Request for Personal Information form Request changes to your record if you think it is inaccurate or incomplete. This form is not required for corrections to your address, date of birth or name.   Authorization for Release of Personal Information form Allow another individual/entity to receive your personal information from DPSI (such as your employer if they are working on your behalf to resolve a claim issue).   Personal Representative Authorization form Identify a personal representative- someone DPSI can release your personal information to. Complete a form for each person you want to have as a representative.   Restriction form Request a limit on how we use or share your personal information   Alternative Communications form Request that DPSI communicate confidential information by methods and at locations that will assure privacy.   Complaint Form To register a complaint or to report a possible violation regarding the handling of protected health information (PHI).