HIPAA Notice of Privacy Practices
Your health information rights and our privacy practices.
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.
Who We Are
Sierra Compounding Pharmacy is committed to maintaining the privacy of your protected health information (PHI) and providing you with this notice of our legal duties and privacy practices.
Your Rights
You have the right to:
- Inspect and copy your health information used to make decisions about your care.
- Request corrections to health information we maintain about you.
- Request restrictions on certain uses and disclosures of your health information.
- Request confidential communications of your health information.
- Receive an accounting of disclosures of your health information.
- Receive a paper copy of this notice upon request.
How We May Use and Disclose Your Information
- Treatment: To provide and coordinate your care, including sharing information with your healthcare providers.
- Payment: To bill and receive payment for services, including sharing with your insurance company.
- Health Care Operations: For our internal operations, including quality assessment and administrative functions.
- As Required by Law: When required by federal, state, or local law.
Our Duties
We are required by law to maintain the privacy of your protected health information, provide you with this notice, and follow the terms of the notice currently in effect.
Complaints
If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of Health and Human Services. You will not be penalized for filing a complaint.
Contact Our Privacy Officer
Sierra Compounding Pharmacy
8661 Baseline Road, Rancho Cucamonga, CA 91730
Phone: (909) 989-9800
Effective Date: 2025