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. If you have any questions about this notice, please contact Jacqueline M. Legg, Business Manager, at 740-593-1660, Hudson 109.
This Notice of Privacy Practices describes how we may use and disclose your protected health information to carry out treatment, payment, or health care operations and for other purposes that are permitted or required by law. It also describes your rights to access and control your protected health information. "Protected Health Information" is information about you, including demographic information, that may identify you and that relates to your past, present or future physical or mental health or condition and related health care services. We are required to abide by the terms of this Notice of Privacy Practices. We may change the terms of our notice, at any time. The new notice will be effective for all protected health information that we maintain at that time. Upon your request, we will provide you with any revised Notice of Privacy Practices by accessing our website; calling the office and requesting that a revised copy be sent to you in the mail, or asking for one at the time of your next appointment.
Your Personal Health Information We collect personal health information from you through treatment, payment and related healthcare operations; the application and enrollment process, and/or other healthcare providers or health plans, or through other means, as applicable. Your personal health information (PHI) that is protected by law broadly includes any information, oral, written or recorded, that is created or received by certain health care entities, including health care providers, such as physicians and hospitals, as well as health insurance companies or plans. The law specifically protects health information that contains data, such as your name, address, social security number, and other data that could be used to identify you as the individual patient who is associated with that health information.
Student Health Service Hudson Health Center 2 Health Center Drive Athens, OH 45701 :: Tel: 740-593-1660 :: Fax: 740-593-0179
