Notice of Privacy Practices


Notice of Privacy Practices

We believe that privacy is part of Walgreens commitment to you. If you have a complaint about our privacy practices or would like to request information about how your personal information has been used, please contact us at one of the links below. Or, contact us at customerservice@mail2.walgreens.com.

Online or PDF Complaint Form

If you have a complaint about our Privacy Practices,

  1. fill out our online Privacy Complaint Form , or

  2. print out a complaint form (PDF) to mail to us, or

  3. contact the Privacy Office directly using the information below:

    Walgreens Privacy Office
    200 Wilmot Road, MS 9000
    Deerfield, Illinois 60015
    (847)236-6518

PDF Request Forms

 

Request for Accounting of Disclosures

PDF AdobeYou have the right to know how your information has been used. Print out a request form to mail to us.

 

Request to Access Form

PDF AdobeYou may request to review the personal health information held about you in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Print out a request form.

 

Request for Alternate Means of Communication Form

PDF AdobeYou may request that your protected health information be sent to you via alternative means or to an alternative location. Print out a request form to mail to us.

 

Request to Amend/Correct Protected Health Information

PDF AdobeIf the health information held about you is incomplete or incorrect, you may request to amend/correct it here. Print out a request form.

 

Request Restrictions on Personal Health Information
Use and Disclosure

PDF AdobeYou may request to restrict the use and disclosure of your protected health information. Print out a request form.

 

PHI Release Authorization (Personal Representative)

PDF AdobeYou may wish to have a spouse, parent, adult child, or caregiver have access to your medical and health information on an on-going basis to assist with your care and maintaining your information. Print out an authorization form to mail to us.

 

PHI Release Authorization (Third Party)

PDF AdobeYou may use this Authorization form if you are authorizing the release of medical/health information to a third party, such as a housing authority, insurance company, or law office. Print out an authorization form to mail to us.

 

Download Acrobat Reader here.

Read our Notice of Privacy Practices here.

Read our Online Privacy and Security Policy here.