ST. EDWARD’S UNIVERSITY

NOTICE OF PRIVACY PRACTICES

THIS NOTICE DESCRIBES HOW PSYCHOLOGICAL AND MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW THIS NOTICE CAREFULLY.

Uses and Disclosures for Treatment, Payment, and Health Care Operations

Health & CounselingCenterstaff may use or disclose your protected health information (PHI) for treatment, payment and health care purposes with your consent.

• PHIrefers to information in your Health & Counseling Center record that could identify you and that concerns your past, present or future health condition.
• Treatmentincludes when staff provide, coordinate or manage your health care and other services related to your health care. An example of treatment would be consulting with a referral source, another therapist or a treating physician or attending psychiatrist.
• Payment- Saint Edward’s University Health & Counseling Center Services are free; no payment is involved.
• Health Care Operationsare activities that relate to the performance and operation of the HCC. Examples of health care operations are quality assessment, business-related matters such as audits and administrative services, and case management and care coordination.
• Useapplies only to activities within HCC (including psychiatrists under contract with the HCC) such as sharing, employing, applying, utilizing, examining, and analyzing information that identifies you.
• Disclosureapplies to activities outside HCC such as releasing, transferring, or providing access to information about you to other parties.

Uses and Disclosures Requiring Authorization

Health & Counseling staff may use or disclose PHI for purposes outside of treatment and health care operations when your appropriate authorization is obtained. An authorization is written permission above and beyond general consent that permits only specific disclosures. We will obtain an authorization from you before releasing information for purposes outside of treatment and health care operations. You may revoke an authorization to the extent that it has already been relied upon in releasing PHI.

Uses and Disclosure with Neither Consent nor Authorization

Health & Counseling staff may use or disclose PHI without your consent or authorization in the following circumstances:

• Child Abuse:If a staff member has reason to believe that a child has been, or may be, abused, neglected, or sexually abused, he/she must make a report of such within 48 hours to the Texas Dept. of Protective and Regulatory Services (DPRS) or to any local or state law enforcement agency.
• Adult Abuse:If a staff member has reason to believe that an elderly or disable person is in a state of abuse, neglect, or exploitation, she/he must immediately report such to DPRS.
• Health Oversight:If a complaint is filed against your therapist with their respective state licensing board, they have the authority to subpoena confidential mental health information from HCC relevant to that complaint.
• Judicial or Administrative Proceedings:If you are involved in a court proceeding and a request is made for information about your diagnosis and treatment and the records thereof, such information is privileged under state law and it will not be released by HCC, without written authorization from you or your personal or legally appointed representative, or a court order. The privilege does not apply when you are being evaluated for a third party or where the evaluation is court ordered. You will be informed in advance if this is the case.
• Serious Threat to Health or Safety:If a HCC staff member determines that there is a probability of imminent physical injury by you to yourself or others, or there is a probability of immediate mental or emotional injury to you, they may disclose relevant confidential mental health information to medical or law enforcement personnel.
• Worker’s Compensation:If you file a worker’s compensation claim, the HCC may disclose records relating to your diagnosis and treatment to your employer’s insurance carrier.
• Abuse or Sexual Exploitation by Therapist:Texas law requires a counselor to report client abuse or sexual exploitation by a previous therapist to the appropriate county district attorney and licensing board.
• As Otherwise Required by Law:For example, for national security or intelligence purposes.

Client’s Rights and HCC Duties

Client’s Rights:

• Right to Request Restrictions— You have the right to ask HCC to limit how it uses and discloses your PHI. The HCC will consider your request but is not required to agree to it. If HCC agrees to your request, it will put the agreement in writing and will follow the agreement unless you need emergency treatment, and the information that you asked will be limited is needed for your emergency treatment. You cannot limit the uses and disclosures that the HCC is legally required to make.
• Right to Receive Confidential Communication by Alternative Means and at Alternative Locations—You have the right to request and receive confidential communications of PHI by alternative means at alternative locations (e.g., you may not want your roommate or parents to know that you are being seen and may ask to receive your appointment reminder calls on your cell phone). You must be specific about where/how to contact you.
• Right to Inspect and Copy— You have the right to inspect and/or obtain a copy of the PHI contained in your official HCC record for as long as the PHI is maintained in the record. HCC may deny your access to PHI under certain circumstances, but in some cases you may have this decision reviewed. On your request, HCC staff will discuss with you the details of the request and denial process.
• Right to Amend— You have the right to request an amendment of PHI for as long as the PHI is maintained in the record. HCC staff may deny your request under certain circumstances. On your request, HCC staff will discuss with you the details of the amendment process.
• Right to a paper copy— You have the right to obtain a paper copy of this notice upon request.

Health & Counseling Center’s Duties:

•  HCC is required by law to maintain the privacy of PHI and to provide you with a notice of out legal duties and privacy practices with respect to PHI.
• HCC reserves the right to change the privacy policies and practices described in this notice at any time and to make the new notice provisions effective for all PHI that it maintains.
• If HCC makes an important change that affects what is in this notice, such revisions will be noted on its web site, and a copy of the revised notice will be distributed to current clients at their next appointment. A revised notice will be distributed to past clients upon their next contact with HCC.

Questions and Complaints

If you have any questions about this notice, disagree with a decision that is made about access to your records, or have other concerns about your privacy rights, you may contact the Health & Counseling Center Privacy Officer at 448-8538. If you believe that your privacy rights have been violated and wish to file a complaint with PSC, you may send or deliver your written complaint to: Privacy Officer, Health & Counseling Center, St. Edwards University, 3001 S. Congress, Austin, TX 78704. You may also send a written complaint to the Secretary of the U.S. Department of Health and Human Services. The Privacy Officer can provide you with the appropriate address upon request. You have specific rights under the Privacy Rule. HCC staff will not retaliate against your for exercising your right to file a complaint.