HIPAA Notice of Privacy

Dear La Vita Compounding Pharmacy Patient:

Starting April 14, 2003, health care providers must comply with a new set of federal regulations. The regulations are part of the Health Insurance Portability and Accountability Act of 1996 ("HIPAA"), which addresses your rights to privacy and handling of Protected Health Information ("PHI").

Respect for your privacy is a top priority at La Vita Compounding Pharmacy. One of the new regulations requires that all of our patients receive our Notice of Privacy Practices at the time of or prior to us providing health care services. We are also required to ask each patient to sign an acknowledgment indicating receipt of this notice.

In an effort to insure that on your first prescription from La Vita Compounding Pharmacy there will be no delay in providing you with the prompt service you have come to expect, we ask that you take time to read the La Vita Compounding Pharmacy Notice of Privacy Practices, sign the Acknowledgment Form and return by email, fax and/or mai to:

La Vita Compounding Pharmacy
Privacy Officer
3978 Sorrento Valley Blvd.
Suite 300
San Diego, CA 92121
Fax: 858-453-2501
Email: info@LaVitaRx.com

If you have any questions regarding HIPAA please call 858-453-2500 or toll free 866-507-1990. Thank you for trusting us to compound your medications.

LaVita Compounding Pharmacy HIPAA Privacy Practice Notice

Lavita Compounding Pharmacy HIPAA Acknowledgement Form
Follow us on Facebook and Twitter!