This notice describes how medical information about you may by used and disclosed and how you can get access to this information.
Our practice is dedicated to maintaining the privacy of your protected health information (PHI). In conducting our business, we will create records regarding you and the treatment we provide to you. We are required by law to maintain the confidentiality of health information that identifies you. By Federal and State law, we must follow the terms of the notice of privacy practices that we have in effect at this time.
These laws are complicated, but we must provide you with the following important information:
- How we may use and disclose your PHI
- Your rights regarding PHI about you
- Our obligations concerning the use and disclose of your PHI
If you have questions about this notice please contact:
Suzanne Villalobos, PA-C
StetsonUniversity Health Services
421 N. Woodland Blvd, Unit 8415
Deland, Florida 32723
386-822-8150
Uses and Disclosures
Treatment. Your health information may be used by staff members or disclosed to other health care professionals for the purpose of evaluating your health, diagnosing medical conditions, and providing treatment. For example, results of laboratory tests and procedures will be available in your medical record to all health professionals who may provide treatment or who may be consulted by staff members. PHI may be provided to the University Athletic Trainer if you are participating in intercollegiate athletics. We may use and disclose PHI when you need a prescription, lab work, an x-ray or other health care services. We may use and disclose PHI about you when referring you to another health care provider.
Payment. Your health information may be used and disclosed if you seek payment from your health plan or from other sources of coverage such as an automobile insurer. For example, your health plan may request and receive information on dates of service, the services provided, and the medical condition being treated.Stetson University does not submit claims directly to your insurance company. PHI may be used when billing your student account for treatment received in Health Services.
Health Care Operations. Your health information may be used as necessary to support the day-to-day activities and management ofStetson University Health Services. For example, information on the services you received may be used to support budgeting and financial reporting, and activities to evaluate and promote quality. PHI may be used to ensure that you are in compliance with the university's immunization and insurance requirements.
Appointment Reminders and Follow Up Calls. We may use and disclose your health information to contact you to remind you of an appointment or for follow up after a visit to Health Services.
Law Enforcement. Your health information may be disclosed to law enforcement agencies, without your permission, to support government audits and inspections, to facilitate law enforcement investigations, and to comply with government mandated reporting.
Public Health Reporting. Your health information may be disclosed to public health agencies as required by law. For example, we are required to report certain communicable diseases to the state's public health department.
Serious Threats to Health or Safety. We may disclose your protected health information when necessary to reduce or prevent a serious threat to your health and safety or the health and safety of another individual or the public.
Workers Compensation. We may release your health information for worker's compensation and similar programs.
Other uses & disclosures require your authorization. Disclosures of your health information or its use for any purpose other than those listed above require your specific written authorization. If you change your mind after authorizing a use or disclosure of your information, you must submit a written revocation of the authorization. However, your decision to revoke the authorization will not affect or undo any use or disclosure of information that occurred before you notified us of your decision.
Individual Rights. You have certain rights under the federal privacy standards. These include:
- The right to request restrictions on the use and disclosure of your protected health information
- The right to receive confidential communications concerning your medical condition and treatment
- The right to inspect and receive a copy your protected health information
- The right to amend or submit corrections to your protected health information
- The right to receive an accounting of how and to whom your protected health information has been disclosed
- The right to receive a printed copy of this notice
Right to Revise Privacy Practices. As permitted by law, we reserve the right to amend or modify our privacy policies and practices. These changes in our policies and practices may be required by changes in federal and state laws and regulations. The revised policies and practices will be applied to all protected health information that we maintain.
Requests to Inspect Protected Health Information. As permitted by federal regulation, we require that requests to inspect or copy protected health information be submitted in writing. You may obtain a form to request access to your records by contacting one of the nurses at Health Services.
Destruction of Medical Records. Patient's medical records will bemaintained forseven years after the date of the last vist to Health Services. All medical records will then be destroyed.
Complaints. If you would like to submit a comment or complaint about our privacy practices, you can do so by sending a letter outlining your concerns to:
StetsonUniversity
Health Services
421 N Woodland Blvd, Unit 8415
Deland, Florida, 32723
If you believe that your privacy rights have been violated, you should call the matter to our attention by sending a letter describing the cause of your concern to the same address. You will not be penalized or otherwise retaliated against for filing a complaint.
Contact Person: Suzanne Villalobos, 386-822-8150
Notification. Because medical services are confidential for students 18 years of age or older, parents are not notified of routine treatment given at Health Services. In case of emergency requiring a students' hospitalization, the physician or student will communicate with parents.
How to Obtain Records.
Click Here to download the form to request a copy of your medical records.