The Student Health Center collects health information about you and stores it electronically and in a chart. This is your Protected Health Information (PHI), or your medical record. Patients have a right to privacy at the Student Health Center; PHI is confidential, and it is not part of your academic record. Aside from the Student Health Center staff, no one on campus has a right to see your PHI or know the treatment you are receiving without your written permission, except in legal exceptions; these exceptions are listed below.
"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."
If you have any questions regarding our confidentiality practices, please direct them to the privacy officer, Marguerite Whitford, Director, Student Health Services, through email at email@example.com.
For Treatment: We use your PHI to provide your healthcare. For example, medical information obtained by a provider attending to your healthcare is recorded in your PHI and is necessary to determine what treatment you should receive. We may share this information with outside healthcare providers or agencies; for example, we may share your PHI with a pharmacist who needs it to dispense your prescription, or with a laboratory that performs your test.
For Healthcare Operations: We may use and disclose your PHI in order to operate our facilities. For example, we may use your PHI to evaluate the quality of our healthcare or to evaluate the performance of the healthcare professionals who provide services to you.
For Notification and Communication with Family: We may use and disclose your PHI to your family in an emergency or in a disaster situation if we believe it is necessary to respond to the emergency circumstances.
For Payment: We may use and disclose your PHI to obtain payment for services provided.
For Explanation of Specific Exceptions: The law allows us to use and disclose PHI without your written authorization for the following purposes:
If you are concerned that the Student Health Center has violated your privacy rights, or if you disagree with a decision made about access to your PHI, you may contact our privacy officer Marguerite Whitford, Director, Student Health Services at firstname.lastname@example.org . You may also send a written complaint to the U.S. Secretary of Health and Human Services at www.hhs.gov .