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doc12841 privacy_document.pdf
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Page 1
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"text": "Student Health Services\n400 East Main Street\nFrankfort, KY 40601\n(502) 597-6271 or 6277\n(502) 597-6565 – Fax\nwww.kysu.edu",
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"text": "Your Information.\nYour Rights.\nOur Responsibilities.",
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"text": "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."
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"text": "When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.",
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"text": "Get an electronic or paper copy of your medical record\nYou can ask to see or get an electronic or paper copy of your medical record and other health information we have about you. Ask us how to do this."
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"text": "You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this."
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"text": "We may say “no” to your request, but we’ll tell you why"
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"text": "You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address."
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Page 2
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"text": "• You can ask us not to use or share certain health information for treatment, payment or our operations.\\n• We are not required to agree to your request and we may say “no” if it would affect your care.\\n• We will say “yes” unless a law requires us to share that information.",
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"text": "• You can ask for a list (accounting) of the times we’ve shared your health information for six years prior to the date you ask, who we shared it with and why.\\n• We will include all the disclosures except for those about treatment, health care operations and certain other disclosures (such as any you asked us to make).",
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"text": "• You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy",
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"text": "• If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.\\n• We will make sure the person has this authority and can",
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Page 3
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"text": "File a complaint if you feel your rights are violated\nYou can complain if you feel we have violated your rights by contacting us using the information on page 1."
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"text": "You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/."
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"embedded_text": "Do Research\n• We can use or share your information for health research.\nComply with the Law • We will share information about you if state of federal\nlaws require it, including with the Department of Health\nand Human Services if it wants to see that we’re\ncomplying with federal privacy law.\nRespond to organ and\n• We can share health information about you with organ\ntissue donation\nprocurement organizations.\nrequests\nWork with a medical • We can share information with a coroner, medical\nexaminer or funeral examiner or funeral director when an individual dies.\ndirector\nAddress workers’\nWe can use or share health information about you:\ncompensation, law\n• For workers’ compensation claims\nenforcement and other\n• For law enforcement purposes or with a law\ngovernment requests\nenforcement official\n• With health oversight agencies for activities authorized\nby law\n• For special government functions such as military,\nnational security and presidential protective services.\nRespond to lawsuits • We can share health information about you in response\nto a court order, subpoena or discovery request.\nand legal actions"
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"text": "We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information."
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