Your Health Information Rights and Notice of 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 THIS NOTICE CAREFULLY

MINA is committed to maintaining your privacy and understands the importance of safeguarding your personal health information. We are required by federal law to maintain the privacy of health information that identifies you or that could be used to identity you known as "Protected Health Information" or "PHI"). Protected Health Information is information about you, including basic demographic information, that may identify you and that relates to your past, present, or future physical or mental health or condition and related health care services. This Notice of Privacy Practices ("Notice") describes your rights under federal and state law, where applicable, and also describes how we may use and disclose Protected Health Information about you to carry out treatment, payment, or health care operations, and for other specified purposes that are permitted or required by law.

MINA is committed to following the terms of this Notice. Except as described in this Notice, we will not use or disclose your Protected Health Information without your written authorization. We reserve the right to change our practices and this Notice and to make the revised Notice effective for all Protected Health Information we maintain. Upon request, we will provide the revised Notice to you.
You have the following rights with respect to your Protected Health Information.-

• Obtain a paper copy of the Notice upon request. You may request a copy of the Notice at any time. Even if you have agreed to receive the Notice electronically, you are still entitled to a paper copy to obtain a paper copy, contact Customer Service.

• Request a restriction on certain uses and disclosures of Protected Health Information. You have the right to request additional restrictions on MINA's use or disclosure of Protected Health Information about you by sending a written request to: Chief Privacy Official, MINA Pharmacy, 3375 Koapaka Street, Suite F220-14, Honolulu, Hawaii 96819. We are not required to agree to those restrictions.

• Inspect and obtain a copy of Protected Health Information. You have the right to inspect and obtain a copy of the Protected Health Information about you contained in a "designated record set" for as long as MINA maintains the Protected Health Information. The "designated record set" usually will include prescription and billing records. To inspect or receive a copy of your Protected Health Information for your inspection, you must send a written request to: Chief Privacy Official, Mina Pharmacy, 3375 Koapaka Street, Suite F220-14, Honolulu, Hawaii 96819. MINA may charge you a fee for the costs of copying, mailing, or other supplies that are necessary to grant each request. MINA may deny your request to inspect and copy in certain limited circumstances. If denied access to your Protected Health Information, you may request a review of the denial.
• Request an amendment of Protected Health Information. If you feel that your Protected Health Information maintained by MINA is incomplete or incorrect, you may request that MINA amend it. You may request an amendment for as long as MINA maintains the Protected Health Information. To request an amendment, you must send a written request to: Chief Privacy Official, Mina Pharmacy, 3375 Koapaka Street, Suite F220-14, Honolulu, Hawaii 96819. In addition, you must include a reason that supports your request. In certain cases, MINA may deny your request for amendment. If MINA denies your request for amendment, you have the right to file a statement of disagreement with the decision and MINA will reply.

• Receive an accounting of disclosures of Protected Health Information. You have the right to receive an accounting of the disclosures we have made of your Protected Health Information for purposes other than treatment, payment, or health care operations. The accounting will exclude disclosures MINA has made directly to you, disclosures to friends or family members involved in your care, incidental disclosures permitted by law, and disclosures for notification purposes. The right to receive an accounting is subject to certain other exceptions, restrictions, and limitations. To request an accounting, you must submit your request in writing to: Chief Privacy Official, Mina Pharmacy, 3375 Koapaka Street, Suite F220-14, Honolulu, Hawaii 96819. Your request must specify the accounting time period, but may not be longer than six years. You may be charged for the cost of providing the accounting's. MINA will notify you of the cost involved and you may choose to withdraw or modify your request at that time.

• Request communications of Protected Health Information by alternative means or at alternative locations. You may request that MINA contact you about medical matters only in writing and that the communication be sent to a different residence or post office box. To request confidential communication of Protected Health Information about you, submit your request in writing to: Chief Privacy Official, Mina Pharmacy, 3375 Koapaka Street, Suite F220-14, Honolulu, Hawaii 96819. Your request must state how, or when, you would like to be contacted. We will accommodate all reasonable requests.

Examples of How MINA May Use and Disclose Protected Health Information
The following categories describe and provide examples of different ways that we use and disclose Protected Health Information about you:

• MINA will use Protected Health Information for treatment. Example: Information obtained by the pharmacist will be used to dispense prescription medications to you. We will document in your record information related to the medications dispensed to you and services provided to you. We will use your Protected Health Information to communicate with health care providers such as your doctor and dentist.

• MINA will use Protected Health Information for payment.
Example: We will contact your insurer, pharmacy benefit manager, or other third-party payer to determine whether it -will pay for your prescription medications and the amount of your co-payment responsibility. We will bill you or a third-party payer for the cost of prescription medications dispensed to you. The information on or accompanying the bill may include information that identifies you, as well as the prescription medications you are taking.
• MINA will use Protected Health Information for health care operations.
Example: The pharmacy may use information in your health record to monitor the performance of the pharmacists providing treatment to you. This information may be used in an effort to continually improve the quality and effectiveness of the health care and service MINA provides.

MINA is likely to use or disclose Protected Health Information for the following purposes:

• Business associates. MINA contracts with business associates for some of its services. Examples include a mailing service required to send you refill reminders. When these services are contracted, MINA may disclose Protected Health Information about you to our business associate to the extent necessary to perform the job that MINA requested. To protect Protected Health Information about you, MINA requires the business associate to appropriately safeguard the Protected Health Information.
• Communication with individuals involved in your care or payment for your care. Health professionals such as pharmacists, using their professional judgment, may disclose Protected Health Information to other health care professionals. a family member, other relative, close personal friend, or any person that you expressly or implicitly authorize to have access to your Protected Health Information relevant to that person's involvement in your care or payment related to your care,

• Minors. In most situations, a parent or guardian has the right to act as the personal representative of their minor children. However, in some circumstances, state laws treat minors as adults with respect to health care services. In those cases, MINA will follow state laws regarding disclosure of a minor's Protected Health Information.
Personal communications. We may contact you to provide refill reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to you.

• Incidental disclosures. We may disclose Protected Health Information incidental to our provision of treatment, payment, or health care operations. Some examples: In our telephone discussions with your health care professional or conversations with you, someone passing by might overhear Protected Health Information; MINA may page you using the store's loudspeaker system.
• Food and Drug Administration (FDA). MINA may disclose to the FDA or its agents Protected Health Information relative to adverse events with respect to drugs, foods, supplements, products and product defects, or postmarketing surveillance information to enable product recalls, repairs, or replacements.
• Workers' compensation. MINA may disclose Protected Health Information about you to the extent authorized by and to the extent necessary to comply with laws relating to workers' compensation or other similar programs established by law.
• Public health. As required by law, MINA may disclose Protected Health Information about you to public health or legal authorities charged with preventing or controlling disease, injury, or disability.
• Law enforcement MINA may disclose Protected Health Information about you for law enforcement purposes or in response to a valid subpoena.
• As required by law. MINA must disclose Protected Health Information about you when required to do so by law.
• Health oversight activities. MINA may disclose Protected Health Information about you to an oversight agency for activities authorized by law. These over-sight activities include audits, investigations, and inspections, as necessary for our licensure and for the government to monitor the health care system, government programs, and compliance with civil rights laws.
• Judicial and administrative proceedings. If you are involved in a lawsuit or a dispute, MINA may disclose Protected Health Information about you in response to a court or administrative order. MINA may also disclose Protected Health Information about you in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the requested Protected Health Information.
MINA is permitted to use or disclose Protected Health Information about you for the following purposes:
 Research. MINA may disclose Protected Health Information about you to researchers when their research has been approved by an institutional review board that has reviewed the research proposal and established protocols to ensure the privacy of your information.
 Coroners, medical examiners, and funeral directors. MINA may release Protected Health Information about you to a coroner or medical examiner. This may be necessary, for example, to identify a deceased person or determine the cause of death. MINA may also disclose Protected Health Information to funeral directors consistent with applicable law to carry out their duties.
 Organ or tissue procurement organizations. Consistent with applicable law, MINA may disclose Protected Health Information about you to organ procurement organizations or other entities engaged in the procurement, banking, or transplantation of organs for the purpose of tissue donation and transplant.

 Fundraising. MINA may contact you as part of a fundraising effort.

 Notification. MINA may use or disclose Protected Health Information about you to notify or assist in notifying a family member, personal representative, or another person responsible for your care, your location, and general condition.

 Correctional institution. If you are, or become, an inmate of a correctional institution, MINA may disclose to the institution or its agents Protected Health Information necessary for your health and the health and safety of others.

• To avert a serious threat to health or safety. MINA may use and disclose Protected Health Information about you when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person.

• Military and veterans. It you are a member of the armed forces, MINA may release Protected Health Information about you as required by military command authorities. MINA may also release Protected Health Information about foreign military personnel to the appropriate military authority.

• National security and intelligence activities. MINA may release Protected Health Information about you to authorized federal officials for intelligence, counterintelligence, and other national security activities authorized by law.

• Protective services for the president and others. MINA may disclose Protected Health Information about you to authorized federal officials so they may provide protection to the president, other authorized persons, or foreign heads of state or to conduct special investigations

• Victims of abuse, neglect, or domestic violence. MINA may disclose Protected Health Information about you to a government authority, such as a social service or protective services agency, if MINA reasonably believes you are a victim of abuse, neglect, or domestic violence. MINA will only disclose this type of information to the extent required by law, if you agree to the disclosure, or if the disclosure is allowed by law and MINA believes it is necessary to prevent serious harm to you or someone else or the law enforcement or public official that is to receive the report represents that it is necessary and will not be used against you.

Other Uses and Disclosures of Protected Health Information

MINA will obtain your written authorization before using or disclosing Protected Health Information about you for purposes other than those provided for above (or as otherwise permitted or required by law). You may revoke this authorization in writing at any time. Upon receipt of the written revocation, MINA will stop using or disclosing Protected Health Information about you, except to the extent that MINA has already taken action in reliance on the authorization.

How to Obtain More Information or Report a Problem

If you have questions or would like additional information about MINA' privacy practices, you may contact: Chief Privacy Official, MINA Pharmacy, 3375 Koapaka Street., Suite F220-14, Honolulu, Hawaii 96819. If you believe your privacy rights have been violated, you can file a complaint with MINA's Chief Privacy Official or with the Office for Civil Rights. There will be no retaliation for filing a complaint.

State Law
Some of the restrictions described in this Notice may be limited in some cases by applicable state laws that are more stringent than the federal standards. MINA has always complied with state privacy laws and will continue to do so.