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Health Record
All students are required to have a completed
comprehensive student health record on file at the
Health Center.
Failure to do so will preclude students from class registration and limit
access to Student Health Services. All completed health records will
include a medical history, signature for consent for treatment, signature to
authorize release of medical information, insurance information, physical
exam by a health care provider, up-to-date immunization records and a
signature on page 4.
Immunizations for full time students include: two doses of MMR (Measles,
Mumps, Rubella), Td (Tetanus) booster within the
last ten years, three doses of Hepatitis B, and a TB Risk Assessment that
also needs to be completed by a health care provider. Varicella vaccine is highly recommended for those
without a history of
chicken pox. In
June of 2002 the Governor of Pennsylvania passed legislation that all students living in campus owned
housing must be vaccinated against meningitis. Student Health Services will be
offering the meningitis immunization on check-in day.
Immunizations for part-time students include two doses of MMR (Measles,
Mumps, Rubella), and a Td (Tetanus) booster within the last ten years.
Hepatitis B vaccine is strongly recommended as well as the Varicella vaccine for those without a history of
chicken pox. Students are encouraged to become educated about meningitis
and seriously consider vaccination.
All immunization requirements/recommendations are in accordance with the
Pa. Department of Health, The American Academy of Pediatrics, The American
College Health Association and the Advisory Committee on Immunization
Practices.
Confidentiality
If a student is over 18 years of age all medical
information is, by law, confidential. No information will be given to
parents, friends, college administrators or professors without consent from
the student.
Privacy
Policy
NOTICE
OF PRIVACY PRACTICES
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.
Student Health Services is dedicated to the protection
of confidential patient health information.
The Health Center Staff makes your privacy a high priority. Each
time you visit the Health
Center
we make a record of the care and services provided. This record is necessary so we can
provide quality health care to you as well as meet our obligations to
certain state and federal laws. This
notice will explain some but not all ways we may use and/or share health
information. This notice will also
describe your rights to access and control your medical record. We are required by law to keep your
health information private. This
protection includes oral, written, and electronic private health
information. We are required by law
to give you this Notice and to follow its present terms.
We reserve the right to change our privacy practices and
the terms of this Notice provided these changes are permitted by law. We have the right to make these changes
effective for all health information we have about you, including
information created or received prior to the change. Before we make significant changes to our
privacy practices, we will change this notice and make a copy available on
request. This Notice is in effect August 1, 2003 and will remain in
effect until changed.
Uses and Disclosures of your medical information:
☺In
the following instances health information may be disclosed without your
express authorization:
☺treatment - Health
Services may use/disclose your health information to provide treatment,
coordinate services and manage your continued health care.
☺payment - Health
Services may use/disclose health information for the purpose of receiving
payment or obtaining reimbursement to you.
This may also include contacting your insurer to verify benefits or
to obtain the needed authorization for treatment.
☺health care operations -
Health Services may use/disclose health information to perform health
care operations such as but not limited to quality assessment &
improvement activities, employee performance appraisals, risk management,
employee training, obtaining accreditation/ licensure/ certificates.
☺appointment reminders -
The Health Center
may use/disclose health information to the extent of reminding you of an
appointment or provide you with information on alternative treatments or
other services which may be of interest to you.
☺Notification & Disaster relief - The Health
Center
may release health information in contacting a friend or family member who
is involved in your care concerning your location and general condition
unless you specifically ask the staff not to share this information. Health Services may also release health
information to disaster relief organizations.
☺As required by law - Including,
but not limited to, Health Services will release your health information as
required by state and/or federal law as applicable for the purposes of
public health, abuse/neglect/domestic violence, legal proceedings, national
security, and law enforcement.
☺Military Activity - The
Health Center
may use/disclose health information if you are in the armed forces and is
required by command authorities or for reasons of benefit determination by
the Department of Veteran Affairs.
☺Worker compensation -
When necessary to comply with laws relating to workmen’s compensation
or similar programs, Health Services may release health information.
☺Medical examiners, coroners, funeral directors - Medical information may be used/disclosed by Health Services to Funeral Directors,
Medical Examiners, Coroners or Organ procurement organizations to aid them
in carrying out their duties.
☺ Disclosure
without authorization:
When information is required to be disclosed without your
authorization, Student Health will provide the least amount of information
necessary to satisfy the purpose of the disclosure.
Other uses and disclosures:
Student Health Services will release patient information
for purposes other than those above with a written authorization signed by
you. Verbal permission will be
accepted only under certain circumstances when written authorization can
not be practically obtained and will be well documented in your chart. You make withdraw your authorization, in
writing, at any time. Your
withdrawal will be effective upon our receipt of you written request.
Patient health information rights:
You have a right to a paper copy of this Notice even if you have
received it electronically.
☺You have the right to request a restriction on
certain uses/disclosures of your health information. This request must be in writing. We are not obligated to honor your
request. If we do agree to your restriction
we will not use these restrictions in cases of emergency.
☺You have the right to examine your medical record
when nursing personnel are available to review the file with you. You have the right to receive a copy of
your medical record. This request
must be in writing. If you are
denied access to your medical records we will contact you in writing and
you will have the opportunity to ask that the denial be reviewed.
☺You have the right to request your record be
amended if you feel it is incorrect or incomplete. This request must be submitted in
writing. For certain reasons we may
deny your request. If your request
is denied you will receive a written explanation of the denial along with
an opportunity to file a statement of disagreement which will be added to
your record.
☺You have the right to request alternate ways of
communicating with us regarding your private health information.
☺You have the right to receive an accounting of
any disclosures after August 1,
2003 that were not for the purposes of
treatment, payment, healthcare operations, or disclosures you authorized.
Questions & Complaints:
Questions regarding this notice, our privacy practices
or your rights can be addressed through the Nurse Director of Student
Health Services.
Complaints can be filed, in writing, with the Nurse
Director of Student Health Services, The Dean of Student Affairs, or The
Department of Health and Human Services.
There will not be a penalty for filing a complaint.
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