Our Commitment To Your Privacy

1776 Health, OSI Medical Services (the affiliated physician entity), and Pharmacy Hub LLC (the affiliated compounding pharmacy) are committed to protecting the privacy of your protected health information (PHI). We are required by law to maintain the privacy of your PHI, to provide you with this notice of our legal duties and privacy practices, and to abide by the terms of this notice.

How We May Use And Disclose Your Health Information

For Treatment. We may use and disclose your PHI to provide, coordinate, and manage your care — for example, sharing your intake with the provider who evaluates you and the pharmacy that dispenses your prescription.

For Payment. We may use and disclose your PHI to obtain payment for the services and medications provided to you.

For Health Care Operations. We may use and disclose your PHI for operations such as quality assessment, provider review, and administrative activities.

As Required By Law. We will disclose your PHI when required to do so by federal, state, or local law.

We do not sell your PHI, and we do not use it for marketing without your authorization. Uses and disclosures not described in this notice will be made only with your written authorization, which you may revoke at any time.

Your Health Information Rights

You have the following rights regarding your PHI:

1. Right to Access. You have the right to inspect and obtain a copy of your PHI that we maintain.
2. Right to Amend. You have the right to request that we amend PHI you believe is incorrect or incomplete.
3. Right to an Accounting of Disclosures. You have the right to request a list of certain disclosures we have made of your PHI.
4. Right to Request Restrictions. You have the right to request restrictions on how we use or disclose your PHI, though we are not required to agree to all requests.
5. Right to Request Confidential Communications. You have the right to request that we communicate with you in a certain way or at a certain location.
6. Right to a Paper Copy of This Notice. You have the right to obtain a paper copy of this notice upon request.
7. Right to Be Notified of a Breach. You have the right to be notified in the event of a breach of your unsecured PHI.

Retention Of Your Information

We retain protected health information for at least six (6) years as required by applicable law.

How To Exercise Your Rights Or File A Complaint

To exercise any of these rights, or if you have questions about this notice, contact our Privacy Officer:

Privacy Officer, 1776 Health
Phone: 1-877-791-1767 (Mon–Fri 9 a.m.–4 p.m. CST)
Mailing address available upon request by phone.

If you believe your privacy rights have been violated, you may file a complaint with our Privacy Officer at the number above, or with the U.S. Department of Health and Human Services, Office for Civil Rights, at 200 Independence Avenue, S.W., Washington, D.C. 20201, or by calling 1-877-696-6775. You will not be retaliated against in any way for filing a complaint.

Changes To This Notice

We reserve the right to change this notice and to make the revised notice effective for PHI we already have as well as any information we receive in the future. The current notice will always be posted on this page with its effective date.