Confidentiality & Request for Records
HIPAA
This notice describes how medical information about you may be used and disclosed and how you can get access to this information.
Understanding Your Health Information:
Each time you visit a clinician, or other healthcare provider, a record of
your visit is made. Typically, this record contains your symptoms, examination
and test results, diagnoses, treatment, and plan for future care or treatment.
Being aware of what is in your health record will help you to make more
informed decisions when authorizing disclosure to others.
Your Health Information Rights
Although your health record is the physical property of Union University
Student Health Services, the health information it contains belongs to you.
You have the right to:
- Inspect and obtain a copy of your health information; there are a few exceptions and copy charges may apply.
- Request to amend your health information.
- Revoke your authorization to use or disclose health information except to the extent that action has already been taken prior to revocation.
- Request a restriction on certain otherwise permitted uses and disclosures of your information; however, we are not required to agree in all circumstances.
- Request a written accounting of disclosures of your health information for the previous six years but not before April 14, 2003 for disclosures other than those made to you for treatment, payment, or healthcare operations or other limited exceptions.
- Request communications of your health information by alternative means or at alternative locations and to obtain a paper copy of this notice upon request.
If you wish to exercise any of these rights, please contact the Student Health Services Director at 731-661-5284 or clinic@uu.edu.
Request for Health Records
Union University holds clinic health records on all university students for ten years. If you need a copy of your record, we must have the release of information form filled out and faxed back to us at 731.661.5499. Upon receiving the release of information form, please allow two business days to process.