NOTICE OF PRIVACY PRACTICES

Effective Date: 08/10/2026

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.

Easy Dose Pharmacy is committed to protecting the privacy of your health information. This Notice describes how we may use and disclose your protected health information, your rights regarding that information, and our responsibilities under applicable privacy laws.

Your Rights

When it comes to your health information, you have certain rights.

Get a Copy of Your Health Information

You may ask to see or obtain an electronic or paper copy of your prescription records and other health information we maintain about you.

We will provide a copy or summary as required by law and may charge a reasonable, cost-based fee when permitted.

Ask Us to Correct Your Health Information

You may ask us to correct health information about you that you believe is incorrect or incomplete.

We may deny certain requests when permitted by law, but we will explain the reason as required.

Request Confidential Communications

You may ask us to contact you in a specific way, such as at a particular telephone number, or to send communications to a different address.

We will accommodate reasonable requests as required by law.

Ask Us to Limit What We Use or Share

You may ask us not to use or disclose certain health information for treatment, payment, or healthcare operations.

We are not required to agree to every request.

If you pay for a healthcare item or service completely out of pocket, you may ask us not to disclose information about that item or service to your health plan for payment or healthcare operations. We will honor that request unless disclosure is required by law.

Get a List of Certain Disclosures

You may request a list, or accounting, of certain disclosures we have made of your health information during the six years before your request.

Certain disclosures, including many made for treatment, payment, and healthcare operations, may not be included as permitted by law.

Get a Copy of This Notice

You may request a paper copy of this Notice at any time, even if you agreed to receive it electronically.

A current copy will also be available on the Easy Dose Pharmacy website.

Choose Someone to Act for You

If you have given someone medical power of attorney or if someone is your legal guardian or otherwise legally authorized to act on your behalf, that individual may exercise your rights as permitted by law.

We may verify that person’s authority before taking action.

File a Complaint

If you believe your privacy rights have been violated, you may file a complaint with Easy Dose Pharmacy by contacting our Privacy Officer.

You may also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights.

Easy Dose Pharmacy will not retaliate against you for filing a complaint.

Your Choices

For certain health information, you may tell us your preferences regarding what information we share.

For example, you may tell us whether you want us to share relevant information with family members, friends, caregivers, or others involved in your care or payment for your care.

If you are unable to tell us your preference, such as during an emergency, we may share information when we believe doing so is in your best interest and is permitted by law.

We may also disclose information when necessary to prevent or lessen a serious and imminent threat to health or safety, as permitted by law.

Written Authorization

We will obtain your written authorization when required by law, including for certain uses or disclosures involving marketing, the sale of health information, or psychotherapy notes.

If you provide written authorization, you may revoke that authorization in writing as permitted by law.

How We May Use and Share Your Health Information

Treatment

We may use and disclose your health information to pharmacists, physicians, prescribers, and other healthcare professionals involved in your treatment.

For example, we may contact your prescriber regarding a prescription, refill authorization, allergy, drug interaction, medication therapy, or another matter related to your care.

Payment

We may use and disclose your health information to obtain payment for services provided to you.

For example, we may submit prescription information to your health insurance plan, pharmacy benefit manager, Medicare, Medicaid, or another responsible payer to determine coverage or obtain payment.

Healthcare Operations

We may use and disclose your health information to operate our pharmacy and improve the quality and safety of the services we provide.

This may include quality-assurance activities, medication safety reviews, staff training, record maintenance, business management, and other healthcare operations permitted by law.

Other Uses and Disclosures

We may use or disclose your health information when permitted or required by law, including for certain:

• Public health and safety activities
• Medication or product recalls
• Reports of adverse reactions to medications
• Health oversight activities
• Workers’ compensation matters
• Law-enforcement purposes
• Judicial or administrative proceedings
• Organ and tissue donation activities
• Coroners, medical examiners, and funeral directors
• Specialized government functions
• Research activities when applicable legal requirements are satisfied
• Situations involving prevention or reduction of a serious threat to health or safety

We will also disclose information when required by federal or state law.

Substance Use Disorder Records

To the extent Easy Dose Pharmacy receives or maintains substance use disorder patient records protected by 42 CFR Part 2, additional federal confidentiality protections may apply.

Such records will be used and disclosed in accordance with applicable federal law. Part 2-protected records generally may not be used in civil, criminal, administrative, or legislative proceedings against a patient except as permitted by applicable law, patient consent, or an appropriate court order when required.

Our Responsibilities

Easy Dose Pharmacy is required by law to:

• Maintain the privacy and security of your protected health information.
• Provide you with this Notice describing our legal duties and privacy practices.
• Follow the privacy practices described in the Notice currently in effect.
• Notify affected individuals when required by law if a breach occurs that may have compromised the privacy or security of their protected health information.
• Use or disclose your health information only as permitted or required by law or as authorized by you.

We will not use or disclose your health information for purposes not described in this Notice unless you provide written authorization or another legal basis permits or requires the use or disclosure.

Changes to This Notice

Easy Dose Pharmacy may change the terms of this Notice and our privacy practices.

Changes may apply to health information we already maintain as well as information we receive in the future.

If we make a material change, an updated Notice will be available at Easy Dose Pharmacy, upon request, and on our website.

Questions, Requests, or Complaints

If you have questions about this Notice, wish to exercise your privacy rights, or believe your privacy rights have been violated, please contact:

Privacy Officer
Gadallah Alawi, PharmD
Easy Dose Pharmacy
5370 W 95th St
Oak Lawn, IL 60453

Phone: (708) 529-0040
Fax: (708) 529-0043

You may also file a complaint with the:

U.S. Department of Health and Human Services
Office for Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
Phone: 1-877-696-6775

Easy Dose Pharmacy will not retaliate against you for exercising your privacy rights or filing a complaint.