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privacy notice

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.

Our Responsibilities

The Student Health Center is required by law to protect the privacy of your medical information, information that identifies you, payment for heatlh care provided to you, how we keep your personal and health information private and our legal duties and privacy practices with respect to information we collect and maintain about you.

The Student Health Center is required by law to provide you with this Notice of Privacy Practices explaining our legal duties and privacy practices with respect to medical information. We are legally required to follow the terms of this Notice.

We may change the terms of this Notice in the future and reserve the right to make changes and to make the new Notice effective for all medical information that we maintain. If changes are made to the Notice the Student Health Center will:

The remainder of this Notice will:

If you have questions about information in this Notice or about our privacy policies, procedures, or practices, you can contact our Privacy Officer at (323) 343-3336.

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What Information is Collected

Each time you visit the Student Health Center a record of your health information is created. The Student Health Center may use and/or disclose your health information for the following purposes: Protected Health Information (PHI) is all the information regarding your health care at the Student Health Center, health care information given to the Student Health Center at your request by other providers, and health care billing information. Generally, it is the information in your medical and/or mental health record and computer data stored in the Student Health Center MedPro and Point and Click systems.

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What Information is Shared

Disclosure of Protected Health Information is done only after you have given written authorization. You may cancel your consent at any time by notifying the Student Health Center in writing.

The Student Health Center may use or disclose your Protected Health Information under certain circumstances without your consent, such as:

If other applicable law prohibits or limits use or disclosure of your Protected Health Information, the Student Health Center will follow the more stringent law.

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Patient Rights

You have the right to:

The Student Health Center will abide by the terms of this notice and will maintain the confidentiality of all Protected Health Information.

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5151 State University Drive . Los Angeles . CA 90032 . (323) 343-3000
© 2008 Trustees of the California State University

Last Update: 12/15/2011