Our Notice of Privacy Practices provides information about how we may use and disclose protected health information about you. By submitting this form, you consent to our use and disclosure of protected health information about you to facilitate your medication reminder service. You have the right to revoke this Consent, in writing, submitted by you. The Service provides this form to comply with the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

Medication Call Reminder has implemented policies, processes, and procedures designed to ensure compliance with Federal and State information security laws, regulations, and rules, and monitors ongoing compliance efforts and maintains various reporting mechanisms that are required by law or requested by its customers. Medication Call Reminder recognizes that it is a key business partner with its customers and will continue to provide all of its various programs and services in accordance with the relevant requirements of all state and federal laws and regulations, including, as applicable, HIPAA.

For additional information regarding Medication Call Reminder’s privacy practices as they relate to its website, see www.medicationcallreminder.com/terms-of-service.