Gold Gorilla Pharmacy
HIPAA Notice of Privacy Practices
Effective Date: 08/01/25
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.
When this Notice of Privacy Practices (“Notice”) refers to “we” or “us,” it means Gold Gorilla Pharmacy, including all pharmacists and employees who provide health care services.
We are required by law to:
Maintain the privacy of your protected health information (“PHI”)
Follow the terms of this Notice
Provide you with this Notice of our legal duties and privacy practices
Notify you if a breach of unsecured PHI occurs
We may revise this Notice at any time. Revised versions will be posted in the pharmacy, on our website, and available to you upon request.
I. How We May Use and Disclose Your PHI
We may use and disclose your PHI for the purposes of treatment, payment, and health care operations, as well as for other purposes permitted or required by law. Any other use requires your written authorization.
A. Treatment
We may use/disclose your PHI to provide pharmacy services, including to other pharmacists or healthcare providers involved in your care. You may opt out of any subsidized treatment communications.
B. Payment
We may use/disclose your PHI to obtain payment, including determining coverage or obtaining prior authorizations from your health plan.
C. Health Care Operations
PHI may be used/disclosed for operations such as quality improvement, compliance audits, and administrative activities.
D. Prescription Refill Reminders, Treatment Alternatives, and Health-Related Benefits
We may contact you regarding refills, treatment alternatives, or services that may benefit your health.
E. Family Members, Relatives, or Close Friends
If you do not object, we may disclose PHI to people involved in your care or payment. If you are not present, we may use our professional judgment to determine if disclosure is appropriate.
F. Other Permitted and Required Disclosures
We may use/disclose PHI without your consent for:
Legal requirements
Public health activities
Health oversight activities (e.g., audits, investigations)
Judicial or administrative proceedings (e.g., court orders)
Law enforcement (e.g., identifying suspects or reporting crimes)
Coroners, medical examiners, and funeral directors
Organ or tissue donation facilitation
Approved research
Preventing serious health/safety threats
Military, national security, and intelligence purposes
Presidential or authorized person protection
Correctional institutions if you are in custody
Workers’ compensation claims
II. SMS Terms and Agreements
By providing your mobile number, you agree to receive SMS messages from Gold Gorilla Pharmacy, including:
Prescription notifications and refill reminders
Account or billing notices
Shipping notifications
Limited promotional content
A. Message Frequency: May vary. Message/data rates may apply.
B. Opt-In: By providing your number or texting a keyword (e.g., “JOIN”), you consent to receive messages.
C. Opt-Out: Text “STOP” at any time or contact us at Support@GoldGorillaPharmacy.com.
D. Help: Text “HELP” or visit https://goldgorillapharmacy.com
E. Privacy: Your number and data will not be sold or used for third-party marketing.
III. Your Rights as Our Patient
As our patient, you have the following rights regarding your PHI:
A. Request Restrictions
You may request restrictions on the use/disclosure of your PHI. We are not required to agree unless the restriction pertains to out-of-pocket, fully paid transactions.
B. Confidential Communications
You can request to receive PHI-related communications by alternative means or locations. Submit your request in writing to the Privacy Officer.
C. Access to PHI
You may request to inspect or receive a copy of your PHI, including electronic formats. Fees may apply. Requests may be denied in limited circumstances with a written explanation.
D. Accounting of Disclosures
You can request a list of disclosures made in the past 6 years. The first request is free; subsequent requests may incur a fee.
E. Request Amendments
You may request corrections to your PHI if you believe it is incorrect. We may deny the request but must provide a reason. You have the right to submit a statement of disagreement.
F. Paper Copy of this Notice
You can request a printed copy at any time, even if you have received it electronically.
G. Fundraising and Marketing
Your PHI will not be used for fundraising or sold without your prior authorization. You have the right to opt out.
IV. Questions or Complaints
If you have questions about this Notice or believe your privacy rights have been violated, you may contact us without fear of retaliation:
Gold Gorilla Pharmacy – Privacy Officer
8424 4th Street N., Suite F
St. Petersburg, FL 33702
Phone: (888) 880-0766
Email: Support@GoldGorillaPharmacy.com
You may also file a complaint with:
Department of Health’s Inspector General
4052 Bald Cypress Way, BIN A03
Tallahassee, FL 32399-1704
OR
Secretary of the U.S. Department of Health and Human Services
200 Independence Avenue SW
Washington, D.C. 20201