The Lauderdale Center for Student Health & Counseling strictly protects the privacy of information related to your health and any care you receive at Health & Counseling. In order to provide the best treatment to our students, we may use your health information: 1) to provide treatment, including consultation between Health & Counseling staff about relevant information, 2) to obtain payment, which may include charges to your student account.
Students have the following rights regarding how information is used:
- The right to request that we limit how we use and disclose information about your health and treatment.
- The right to see and get copies of your records. In most cases, you have the right to look at or to get a copy of your Health & Counseling record. The request must be made in writing. If your request is denied, we will tell you in writing, of the reasons for denial. You have a right to have the denial reviewed.
- If you believe there is a mistake in your record, or that information is missing, you have the right to request that corrections are made. Please put your request in writing. If your request is denied, we will tell you, in writing, of the reasons for the denial and explain your right to have the denial reviewed. It is then your right to file a written statement of disagreement with the denial.
Students who have any questions about Health & Counseling's privacy practices or wish to file a complaint should contact the Administrative Director of Health & Counseling, Melinda DuBois, at 595-245-5716.
As a student you have the right:
- To receive considerate and respectful care.
- To have your diagnosis and treatment explained to you or a legally authorized person in terms that you can understand, and to have any related questions answered.
- To know the diagnosis, the treatment plan, the risks and benefits of treatment and of non-treatment,
- To know the prognosis, or expected course of illness or disease.
- To have all common side effects of a drug explained.
- To inspect, receive copies, and request amendments of your medical records.
- To know who is interviewing and examining you.
- To have explained to you ways that you can prevent medical problems from recurring.
- To refuse to be examined or treated by health practitioners, to be informed of the consequences of such decisions, and to request a second opinion if you want one.
- To change your provider and select another provider of your choice if other qualified providers are available.
- To be assured of the confidential treatment of disclosures and records and to have the opportunity to approve or refuse the release of such information, except when release of specific information is required by law or is necessary to safeguard you or the college community.
- To use established procedures for any suggestions, complaints and grievances regarding the care you receive while a student here.
- To refuse to participate in experimental or other research protocols.
As a student you have the responsibility:
- To take an active role in your own health care.
- To provide Health & Counseling with a complete, accurate medical form to the best of your ability, including information about immunizations, current health status, allergies or sensitivities, medications, including over-the-counter products & dietary/herbal supplements, & prior medical / psychiatric conditions.
- To ask questions if you do not understand the directions or treatment being given by a provider.
- To inform the health center staff, prior to your scheduled appointment, if you need to miss an appointment.
- To accept personal financial responsibility for any charges not covered by the health fee or your health insurance.
- To be respectful of all the health care providers and staff, as well as other patients, and all property, while in the Health & Counseling facility.
All services provided to students and all communications between you and your clinician and/or counselor are held in the strictest confidence. Prior to any treatment at Health & Counseling, each client is asked to read, sign, and date a standardized consent form explaining their rights as well as the organization's responsibilities in regards to privacy and confidentiality. This consent form is kept in the student's record and updated on the first visit of each academic year. Health & Counseling's confidentiality policy is in accordance with state and federal regulations.
Documentation related to any services you receive at Health & Counseling does not become part of your academic or other College records. Within the Health & Counseling department, separate records are kept for Health & Counseling Services, although Health & Counseling staff consult with each other about relevant information as necessary in order to provide the best treatment. In the event of a medical emergency, information needed to provide appropriate intervention may be given to the health professional providing treatment. In all other cases information will not be shared with anyone outside Health & Counseling without your written permission.
If you would like to release your Health & Counseling records to another provider, you will need to complete and sign a consent form granting us authorization to release information. This form is available in PDF format below; simply print the form, complete, sign, and return it to us at the address below. If you have any questions about completing this form, please contact Health Services at 245-5736 or Counseling Services at 245-5716.
Authorization to Release Information
Our team of knowledgeable, caring professionals provides the highest quality health care. We strive to treat every patient as we would like to be treated ourselves, with care and understanding. We are dedicated to an ongoing pursuit of excellence, and we recognize that there is always room for improvement.
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