Notice of Privacy Practices
Texas State Student Health Center
THIS NOTICE DESCRIBES HOW INFORMATION ABOUT YOU MAY BE USED AND DISCLOSEDAND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Purpose: The Texas State Student Health Center (SHC) is providing you with this notice to comply with federal and state privacy laws. All SHC staff, including student employees, will follow the privacy practices described in this notice.
ATTENTION: Texas State Students
The privacy of your health information and medical record is protected by various state laws and a federal law entitled the Family Educational Rights and Privacy Act of 1974 (FERPA). FERPA sets out requirements to protect the privacy of your education records and gives you certain rights. You can learn more about FERPA on the TX State website. Some of the state laws we comply with include, but are not limited to Occupations Code, Title 3, Chapter 159; Texas Medical Board Rules, Chapter 165; and Health & Safety Code, Title 7, Chapter 611. Your health information will not be disclosed without your written permission unless permitted or required by law.
Electronic Communications: The SHC may use myBobcatHealth, a secure patient website, e-mail and encrypted e-mail to communicate with patients and to send appointment reminders.
In a health or safety emergency, we may use or disclosure your health information to notify medical and law enforcement personnel, and appropriate parties of threat of harm to self or others, appropriate parties may include parents, significant other, Dean of Students, and law enforcement.
ATTENTION: Staff, Faculty, Summer Campers, TX State Program Attendees
When Can the SHC Use and Disclose My Health Information?
The SHC may be permitted or required by law to use your health information without your authorization for the following reasons. You will have an opportunity to refuse some of these communications as indicated by. ***
SHC staff for the purpose of providing you with care during a scheduled appointment or to refer you to another medical provider; to send you a bill, if necessary, or to file an insurance claim on your behalf, and/or to perform quality improvement studies or to make decisions about the services we provide.
SHC business associates for the purpose of performing the jobs we have asked them to do, such as, but not limited to providing after hours nurse advice services or providing optional student insurance claims processing.
If you believe your privacy rights have been violated, you may file a written complaint with the Secretary of Health and Human Services. There will be no retaliation taken against you for filing a complaint. Submit written complaints to the Office for Civil Rights, U.S. Department of Health & Human Services, 1301 Young Street – Suite 1169, Dallas, TX 75202.Voice phone (800) 368-1019; TDD (800) 537-7697; FAX (214) 767-0432
When Must the SHC Obtain Authorization For Use and Disclosure of my Health Information?
We Must Have Your Authorization for Other Disclosures
By law, we may be allowed to or required to use or disclose your protected health information without your written consent or authorization for those purposes listed above. In all other instances, use or disclosure of your protected health information would be made only with your written authorization and you would be able to revoke such authorization.
ATTENTION: All Patients
Requirements Regarding This Notice: The Student Health Center is required by law to maintain the privacy of your health information and to provide you with a notice of our legal duties and privacy practices with respect to your protected health information. We are required to follow the terms of this notice currently in effect. We have the right to change this notice and to make the new changes effective for all protected health information we maintain. A new notice will be posted on our website, in our clinic, and made available to you upon request.
Your Privacy Rights
Although your health record is the physical property of the SHC, the information belongs to you. You have the right to:
You must submit a written request to the Privacy Officer to exercise your rights.
Breach of Unsecured PHI
If a breach of unsecured PHI affecting you occurs, SHC is required to notify you of the breach.
The Student Health Center wants you to understand the information we are giving you. If you have questions, would like additional information, or would like to file a written complaint, you may contact the SHC Privacy Officer at (512) 245-2161 or email@example.com.
Effective Date of Notice: December 5, 2005