Client Privacy Notice
Gelot Pharmacy Consulting and Communications, LLC
doing business as The Senior Wellness Pharmacist of SWFL
Your Information. Your Rights. Our Responsibilities.
This notice describes how Gelot Pharmacy Consulting and Communications, LLC, doing business as The Senior Wellness Pharmacist of SWFL, collects, uses, shares, and protects your personal and health information.
In this notice, “Company” means Gelot Pharmacy Consulting and Communications, LLC, doing business as The Senior Wellness Pharmacist of SWFL; “Pharmacist” means Shyam Gelot, PharmD, CPh, BCPS; and “Practice” collectively means the Company, the Pharmacist, and any employees or contractors involved in providing the services.
The Practice complies with applicable federal and Florida privacy laws, including HIPAA to the extent applicable. This notice describes the Practice’s privacy practices and does not create rights beyond those provided by applicable law and the Practice’s stated policies.
Effective date 10/23/2026
Privacy contact Shyam Gelot, PharmD, CPh, BCPS
Email info@seniorpharmd.com
Telephone 239-268-7966
Information We Collect
To provide and manage your pharmacist consultation services, the Practice may collect:
• Identifying information: Your name, date of birth, address, and contact information.
• Health information: Medication lists, vaccination history, allergies, medical history, relevant laboratory results, intake forms, and consultation records.
• Financial information: Billing details, payment status, and transaction records.
• Communication records: Messages, authorizations, and communications with you and others involved in your services.
• Technical and portal data: Information associated with your use of the Practice’s portal and electronic services.
Your Privacy Requests
You may contact the Practice to:
• Request access to or a copy of your records.
• Request correction of information you believe is inaccurate or incomplete.
• Request communication through a particular method or at a different address.
• Request limits on how your information is used or shared.
• Request information about disclosures of your health information.
• Obtain a copy of this notice.
• Identify a legally authorized representative to act for you.
• Raise a privacy concern or submit a complaint.
• Requests will be handled in accordance with applicable law and the Practice’s policies. Some requests may be subject to limitations or may not be granted.
Your Choices
• You may tell the Practice your preferences about sharing information with family members, caregivers, friends, or others involved in your care or payment for your care. Permissions and restrictions may be documented through the Practice’s authorization forms.
• The Practice will follow your instructions when permitted by applicable law.
• If you are unable to express your preference, the Practice may share limited information when permitted by applicable law if we reasonably determine in good faith that sharing is in your best interest or is needed to reduce a serious and imminent threat to health or safety, and only to the extent necessary for that purpose.
• The Practice does not use your personal or health information for fundraising and does not sell that information.
• The Practice will not use or disclose your personal or health information for marketing that requires authorization unless you provide the required written authorization.
• If the Practice receives psychotherapy notes or other specially protected records, it will handle them in accordance with applicable law, including obtaining separate authorization when required.
How We May Use and Share Your Personal Information
Provide and coordinate your pharmacist services
The Practice may use your health information to provide pharmacist consultation services and share relevant information with physicians, pharmacies, authorized caregivers, or other healthcare professionals involved in your care, with appropriate authorization or as otherwise permitted by applicable law.
Example: With appropriate authorization or as otherwise permitted by law, the Practice may share medication-related concerns, vaccine-related recommendations, or your Medication Blueprint or personalized vaccine summary with a physician or pharmacy involved in your care.
Run our practice
The Practice may use and share your information, as permitted by applicable law, to manage appointments, communicate with you, maintain records, improve service quality, and perform administrative and compliance activities.
Example: The Practice may review completed intake forms and consultation records to prepare your Medication Blueprint and manage follow-up.
Obtain payment for services
The Practice may use and share limited information, as permitted by applicable law, to process private-pay charges, issue receipts, address payment questions, and communicate with payment processors.
We currently operate as a private-pay practice and do not submit claims to health insurance plans or conduct other HIPAA standard transactions electronically.
Example: The Practice may provide the information needed for a payment processor to process your consultation fee.
Use service providers
The Practice may share relevant information with service providers that support its operations, such as a practice-management platform, telehealth provider, payment processor, records-storage provider, legal counsel, accountant, or other operational service provider, when permitted by applicable law.
Other uses and disclosures permitted or required by law
• The Practice may disclose relevant information when permitted or required by applicable law, including for:
• Public health and safety activities, including reporting suspected abuse or neglect or adverse medication reactions.
• Health oversight activities.
• Legally authorized workers’ compensation, law-enforcement, or government requests.
• Court orders, subpoenas, or other legal proceedings when the applicable disclosure requirements are met.
• Coroners, medical examiners, funeral directors, or organ-procurement organizations, when applicable and authorized.
• The Practice may provide information to the U.S. Department of Health and Human Services if that agency has jurisdiction to review the Practice’s compliance.
Substance Use Disorder Records and Other Specially Protected Information
Some health information may receive additional protection under federal or Florida law. To the extent we receive records protected by 42 C.F.R. Part 2, we will not use or disclose those records in civil, criminal, administrative, or legislative proceedings against you unless you provide written consent or a court order and subpoena authorize the disclosure. Other specially protected records will be handled as required by applicable law.
Your Privacy Requests in Detail
Get an electronic or paper copy of your record
• You may ask to inspect or receive an electronic or paper copy of the records the Practice maintains about you.
• Submit your request through the secure client portal or another approved communication method described in the Client Services Agreement.
• The Practice will respond in accordance with applicable law and its policies. Any applicable fees or limitations will be explained to you.
Ask us to correct your record
• You may ask the Practice to correct information you believe is inaccurate or incomplete.
• The Practice will review your request in accordance with applicable law and its policies. A request may be denied in some circumstances. If it is denied, the Practice will explain its decision to you.
Request a preferred communications method
You may ask the Practice to contact you through a particular method or at a different telephone number, email address, or mailing address. The Practice will consider your request in accordance with applicable law, its policies, and the communication methods it can reasonably support. Any agreed method and your communication preferences will be documented. Requests to receive health information through an unsecured method are subject to the risk acknowledgment described in the Client Services Agreement.
Request Limits on Use and Sharing
• You may ask the Practice to limit how your personal or health information is used or shared.
• The Practice will consider your request in accordance with applicable law and its policies. It may not be able to agree to every request. Any agreed restriction will be documented.
Request Information about Disclosures
You may contact the Practice to request information about disclosures of your health information.
The Practice will respond in accordance with applicable law, its policies, and the disclosure records it maintains. Any applicable limitations or fees will be explained to you.
Obtain a Copy of this Notice
You may request an electronic or paper copy of this notice at any time by contacting the Practice. A current copy will also be available through the secure client portal and on the Practice’s website.
Identify a Legally Authorized Representative
A person with legal authority to act for you may submit privacy requests on your behalf, subject to the scope of that authority and applicable law.
The Practice will request documentation establishing the person’s identity and authority before relying on it and may verify that the authority remains effective.
Permission for a caregiver or family member to participate in a consultation or receive information does not, by itself, authorize that person to exercise privacy rights or sign documents on your behalf.
Raise a Privacy Concern or File a Complaint
You may raise a privacy concern or submit a complaint to the Practice using the privacy-contact information listed in this notice.
Depending on the nature of your concern and the agency’s jurisdiction, you may also contact the Florida Board of Pharmacy or the Florida Attorney General. The Practice’s obligations are governed by applicable Florida law, Florida Board of Pharmacy rules, and applicable federal law. If HIPAA applies to the matter, you may file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights. The Practice will not retaliate against you for submitting a complaint.
Our Responsibilities
• We will maintain the privacy and security of your health information as required by applicable federal and Florida law and as described in this notice.
• We will notify affected individuals of a breach when required by applicable law.
• We will follow the privacy practices described in this notice.
• We will limit information used or disclosed to what is reasonably necessary for the purpose of the use or disclosure, as required by applicable law.
• We will not use or share your information other than as described in this notice unless you authorize us in writing or applicable law permits or requires it.
• You may revoke a written authorization at any time by submitting written notice through the secure portal or another approved written communication method. Revocation does not affect actions already taken in reliance on the authorization.
Electronic Communications and Client Portal
The Practice uses a secure client portal for forms, scheduling, telehealth, messages, payments, and document delivery. Another communication method may be used when approved and documented as described in the Client Services Agreement. Ordinary email and text messages are not fully secure. Before sending health information through an unsecured method at your request, the Practice will explain the risks of interception, misdirection, or unauthorized access and document your acceptance of those risks.
The Practice, the Pharmacist, and the Practice’s employees or independent contractors are not responsible for unauthorized access resulting from your chosen method, except as otherwise required by law.
The portal and other communication channels are not continuously monitored. Do not use portal messages, email, text messages, voicemail, or social media for emergencies. For a medical emergency, call 911 or seek immediate emergency care.
Changes to This Notice
The Practice may update this notice to reflect changes in its privacy practices or applicable law. Each revised notice will identify its effective date. Subject to applicable law, revised practices may apply to information the Practice already maintains as well as information collected afterward. Changes to this notice do not override restrictions in a signed authorization or permit disclosures prohibited by law.
The current notice will be available upon request, through the secure client portal, and on the Practice’s website.
Questions
To ask questions about this notice, submit a privacy request, or report a privacy concern, contact:
Shyam Gelot, PharmD, CPh, BCPS — Privacy Contact
Gelot Pharmacy Consulting and Communications, LLC
Doing business as The Senior Wellness Pharmacist of SWFL
Email: info@seniorpharmd.com
Telephone: 239-268-7966
You may also submit requests through the secure client portal or another approved communication method described in the Client Services Agreement.