THE COLLEGE OF ST. SCHOLASTICA STUDENT HEALTH SERVICE,
ATHLETIC DEPARTMENT, STUDENT SUPPORT SERVICES, AND
STUDENT CENTER FOR HEALTH AND WELL-BEING

NOTICE OF PRIVACY PRACTICES

This notice describes how medical and/or mental health information about you may be used and disclosed
and how you can access this information.

(Please review the following carefully)

ST. SCHOLASTICA'S POLICY:

All patient health care information is deemed confidential. The policy of this facility is to maintain each patient's health care information as confidential and to only make available a patient's health care records and information upon a valid, authorized request.

THE COLLEGE OF ST. SCHOLASTICA'S RESPONSIBILITIES TO YOU:

• We understand that medical/mental health information about you and your health care is personal and are committed to protecting your health information.

USES AND DISCLOSURES:

For treatment:

• We may use medical information about you to provide treatment or services.
• We may disclose medical information about you to other CSS health care providers who are involved in your care.
• Different services may share medical information about you in order to coordinate the care you may need.

For payment:

• We may use and disclose medical information about your treatment and services to bill and collect payment from you or your insurance company.

For health care operations:

• We may use information in your health record to review the treatment and services and to evaluate the performance of our staff in caring for you.
• We may use and disclose medical information to business associates we have contracted with to perform the agreed upon service and billing.
• We may use and disclose medical information to remind you of an appointment.
• We may use and disclose medical information to assess your satisfaction with our services.
• We may use and disclose medical information to inform you about possible alternatives.

For individuals involved:

• In certain circumstances, we may have to release medical information about you to a family member or friend who is involved in your medical care or who helps pay for care.
• We only do this with your authorization and this authorization may be revoked by you at any time.

Law Enforcement/Legal Proceedings:

• We may disclose health information for law enforcement purposes as required by law or in response to a court order or search warrant.

YOUR RIGHTS:

• You have the right to access copies of health information.
• You have the right to amend your record.
• You have the right to request confidential information.
• You have the right to request restricted use.
• You have the right to obtain an accounting of discloses.

CHANGES TO THIS NOTICE:

• The College reserves the right to change its privacy practices.
• If the notice changes, current and future information about you will be revised to the new standards.
• A notice or posting will be available to you each time you recieve health care.
  

HOW TO MAKE A COMPLAINT:

• If your rights have been violated, you may file a complaint with the College by contacting the College Privacy Officer at the number provided below.
  

QUESTIONS:

If you have any questions about this notice, please contact the following:

The College of St. Scholastica Privacy Officer
1200 Kenwood Ave.
Duluth, MN 55811
(218) 723-6116

OR

The Student Center for Health and Well-Being
1200 Kenwood Ave.
Duluth, MN 55811
(218) 723-6085

HELPFUL LINK:

http://www.HHS.gov/ocr/hipaa