Advanced Scripts Compounding Pharmacy

Notice of Privacy Practices

This document explains how your health information is used, shared, and your rights regarding it.

Your Rights

1. Access Your Records: You can request a copy of your medical records (electronic or paper). ​ It will be provided within 30 days, possibly with a small fee.
2. Correct Your Records: You can ask to fix incorrect or incomplete information. ​ If denied, you'll get a written explanation within 60 days. 5
3. Confidential Communication: You can request specific ways to be contacted (e.g., phone or mail). 6
4. Limit Sharing: You can ask us not to share certain information, especially if you pay for services out-of-pocket. 7​ We’ll agree unless legally required to share. ​
5. Get a Sharing List: You can request a list of who we’ve shared your information with (excluding treatment, payment, and operations). One free list per year; additional lists may incur a fee.
6. Privacy Notice Copy: You can request a paper copy of this notice anytime.
7. Appoint Someone: A legal guardian or medical power of attorney can act on your behalf.
8. File Complaints: If you feel your rights are violated, you can file a complaint with us or the U.S. Department of Health and Human Services. ​ No retaliation will occur.

Your Choices

You can decide how we share your information in certain cases:

• You can choose to share: With family, friends, or in disaster relief situations.
• We need written permission: For marketing, selling your information, or sharing psychotherapy notes.
• Fundraising: We may contact you, but you can opt out.

How We Use/Share Your Information

1. Typical Uses:

• Treatment: Share with professionals treating you.
• Operations: Use for managing care and services.
• Billing: Share with insurers for payment.

1. Other Uses:

• Public health (e.g., disease prevention, recalls, abuse reporting).
• Research.
• Legal compliance (e.g., organ donation, law enforcement, lawsuits).
• Workers’ compensation and government requests.

Our Responsibilities

• Protect your health information and notify you of breaches.
• Follow privacy laws and practices outlined here.
• Only share information with your written consent unless legally required.

Changes to This Notice

We may update this notice, and the new version will apply to all your information. It will be available in our office and online.

Dina Ibrahim, Pharm-D

Pharmacy Manager

2836 Enterprise Rd, Suite#5

Debary, FL 32713

Phone#: 386-845-1200

Fax#: 386-575-4194

www.advancedscripts.net