Protect your medical information: contact the pharmacy for its official privacy notice and approved communication methods.
South Valley Pharmacy provides a downloadable HIPAA client form addressing uses and disclosures for treatment, payment and health care operations. This web page is a summary for visitors; it is not a substitute for the pharmacy’s complete, current Notice of Privacy Practices.
Read the HIPAA client form (PDF). Ask the pharmacy for the current privacy notice, privacy contact and instructions for exercising patient rights.
This website does not provide a confirmed secure online upload. Do not place prescriptions, birth dates, identification, diagnoses or insurance details into public search fields, regular email or unverified forms. Call the pharmacy first to confirm the receiving channel and recipient.
Patients may have rights to access and request amendment of health records, receive an accounting of certain disclosures and ask for confidential communications or restrictions, subject to applicable law. For instructions and the correct privacy contact, call (408) 847-6160.
This static website includes navigation and local search. It may be subject to ordinary hosting access logs and other site infrastructure operated by the hosting provider. The provided files do not establish a complete inventory of production cookies, analytics systems or retention practices; those details must be verified before publishing a definitive privacy policy.
The patient consent form states that a patient may request restrictions on some uses or disclosures of health information and may revoke consent in writing, subject to prior reliance on that consent. It also directs patients to the pharmacy's separate Notice of Privacy Practices. Request the current notice and a secure communication method by calling (408) 847-6160.
Important: the identification and guarantor packet includes fields for Social Security and card-security information. Do not transmit this information through ordinary email or unsecured website forms; the pharmacy must confirm a secure, appropriate collection procedure and whether those fields are required.
This page is informational and is not a substitute for a reviewed, full HIPAA Notice of Privacy Practices or a website-specific privacy notice describing any actual analytics, cookies, hosting vendors, and retention periods.