私隐实务通知

我们关于医疗信息的承诺
The privacy of 你r medical 信息 is important to us. 我们理解你方 medical 信息 is personal and we are committed to protecting it. 我们创建一个 record of the care and 服务 你 receive at our 组织. 我们需要这张唱片 to provide 你 with quality care and to comply with certain legal requirements. 这 notice will inform 你 of the ways we may use and share medical 信息 about 你. We also describe 你r rights and certain duties we have regarding use and disclosure 医疗信息.

我们的法律责任

法律要求我们:

1. 保密你的医疗信息.
2. 给 你 this notice describing our legal duties, privacy practices, and 你r rights 关于您的医疗信息.
3. 请遵循当前通知的条款.

我们有权:

1. Change our privacy practices and the terms of this notice at any time, provided that 这些变化是法律允许的.
2. Make the changes in our privacy practices and the new terms of our notice effective for all medical 信息 that we keep, including 信息 previously created 或者在更改之前收到.

私隐实务变更通知:

1. Before we make an important change in our privacy practices, we will change this notice 并应要求提供新的通知.

您的医疗信息的使用和披露
The following section describes different ways that we use and disclose medical 信息. 并非所有的使用或披露都会被列出. 然而，我们已经列出了所有不同的 ways we are permitted to use and disclose medical 信息. 我们不会使用或 disclose 你r medical 信息 for any purpose not listed below, without 你r specific 书面授权. Any specific 书面授权 你 provide may be revoked 随时来函告知.

治疗:
We may use medical 信息 about 你 to provide 你 with medical treatment or 服务. We may disclose medical 信息 about 你 to doctors, nurses, technicians, medical students, or other people who are taking care of 你. 我们也可以共享医疗 信息 about 你 to 你r other health care providers to assist them in treating 你.

付款:
We may use and disclose 你r medical 信息 for payment 目的. 汇票可以 发送给您或第三方付款人. 帐单上的信息或随附的信息 可能包括你的医疗信息.

卫生保健业务:
We may use and disclose 你r medical 信息 for our health care operations. 这 might include measuring and improving quality, evaluating the performance of employees, conducting training programs, and getting the accreditation, certificates, licenses 以及我们为您服务所需的证件.

其他用途和披露
In addition to using and disclosing 你r medical 信息 for treatment, payment, and health care operations, we may use and disclose medical 信息 for the following 目的.

设备目录:
Unless 你 notify us that 你 object, the following medical 信息 about 你 will be placed in our facility directories: 你r name; 你r location in our facility; 你r condition described in general terms; 你r religious affiliation, if any. We may disclose this 信息 to members of the clergy or, except for 你r religious affiliation, to others who contact us and ask for 信息 about 你 by name.

通知:
We may use and disclose medical 信息 to notify or help notify: a family member, 你r personal representative or another person responsible for 你r care. 我们将 share 信息 about 你r location, general condition, or death. 如果你在场， we will get 你r permission if possible before we share, or give 你 the opportunity 拒绝许可. In case of emergency, and if 你 are not able to give or refuse permission, we will share only the health 信息 that is directly necessary for 你的健康，根据我们的专业判断. 我们也将使用我们的专业 judgment to make decisions in 你r best interest about allowing someone to pick up medicine, medical supplies, x-ray or medical 信息 for 你.

救灾:
我们可以分享 medical 信息 with a public or private 组织 or person who 是否可以合法地协助救灾工作.

融资:
We may provide medical 信息 to one of our affiliated fundraising foundations 为筹款目的与您联系. 我们将限制对信息的使用和分享 that describes 你 in general, not personal, terms and the dates of 你r health care. In any fundraising materials, we will provide 你 a description of how 你 may choose 不接收未来的筹款通讯.

有限情况下的研究:
We may use medical 信息 for re搜索 目的 in limited circumstances where the re搜索 has been approved by a review board that has reviewed the re搜索 proposal and established protocols to ensure the privacy 医疗信息.

葬礼主管，验尸官，法医
To help them carry out their duties, we may share the medical 信息 of a person who has died with a coroner, medical examiner, funeral director, or an organ procurement 组织.

政府的专门职能:
Subject to certain requirements, we may disclose or use health 信息 for military personnel and veterans, for national security and intelligence 活动, for protective 服务 of the President and others, for medical suitability determinations for the Department of State, for correctional institutions and other law enforcement custodial situations, and for government programs providing public benefits.

法院命令、司法和行政程序:
We may disclose medical 信息 in response to a court or administrative order, subpoena, discovery request, or other lawful process, under certain circumstances. Under limited circumstances, such as a court order warrant, or grand jury subpoena, we may share 你r medical 信息 with law enforcement 官员. 我们可以分享 limited 信息 with a law enforcement official concerning the medical 信息 of a suspect, fugitive material witness, crime victim or missing person. 我们可以分享 the medical 信息 of an inmate or other person in lawful custody with a law enforcement official or correctional institution under certain circumstances.

公共卫生活动:
As required by law, we may disclose 你r medical 信息 to public health or legal authorities charged with preventing or controlling disease, injury or disability, 包括虐待或忽视儿童. 我们也可能将您的医疗信息披露给 persons subject to jurisdiction of the Food and Drug Administration for 目的 of reporting adverse events associated with product defects or problems, to enable product recalls, repairs or replacements, to track products, or to conduct 活动 required 食品和药物管理局. 如果法律授权，我们也可以这样做 do so, notify a person who may have been exposed to a communicable disease or otherwise be at risk of contracting or spreading a disease or condition.

虐待、忽视或家庭暴力的受害者:
We may use and disclose medical 信息 to appropriate authorities if we reasonably believe that 你 are a possible victim of abuse, neglect, or domestic violence, or 可能是其他罪行的受害者. 如果需要，我们可以分享你的医疗信息 necessary to prevent a serious threat to 你r health and/or safety or the health and/or 他人安全. 我们可以分享 medical 信息 when necessary to help law enforcement 官员 capture a person who has admitted to being part of a crime or has escaped 脱离法律监护.

工人的补偿:
We may disclose health 信息 when authorized or necessary to comply with laws relating to workers compensation or other similar programs.

卫生监督活动:
We may disclose medical 信息 to an agency providing health oversight for 活动 法律授权. 这 would include audits, civil, administrative, or criminal investigations or proceedings, inspections, licensure or disciplinary actions, or other authorized 活动.

执法部门:
Under certain circumstances, we may disclose health 信息 to law enforcement 官员. These circumstances include reporting required by certain laws (such as reporting of certain types of wounds), pursuant to certain subpoenas or court orders, reporting limited 信息 concerning identification and location at the request of a law enforcement official, reports regarding suspected victims of crimes at the request of a law enforcement official, reporting death, crimes on our premises, and 紧急情况下的犯罪.

替代和附加医疗服务:
We may use and disclose medical 信息 to furnish 你 with 信息 about health-related benefits and 服务 that may be of interest to 你, and to describe 或者推荐治疗方案.

个人权利

您有权:

1. Look at or get copies of certain parts of 你r medical 信息. 你可以要求 that we provide copies in a format other than photocopies. 我们将使用这种格式 除非我们不实际，否则你方可以提出要求. 你必须提出你的要求 以书面形式. You may ask the Student 健康 服务 receptionist for the form needed 请求访问. You may contact the receptionist in person at the Student 健康 Clinic during hours of operation or by calling 972-721-5322. 可能会有收费 for copying and for postage if 你 want the copies mailed to 你. 问学生 健康服务部的接待员关于我们的收费结构.
2. Receive a list of all the times we or our business associates shared 你r medical 信息 for 目的 other than treatment, payment, health care operations and 其他指定的例外情况.
3. Request that we place additional restrictions on our use or disclosure of 你r medical 信息. We are not required to agree to these additional restrictions, but if we do, we will abide by our agreement (except in the case of an emergency).
4. Request that we communicate with 你 about 你r medical 信息 by different means 或者去不同的地方. 您要求我们提供您的医疗信息 to 你 by different means or at different locations must be made 以书面形式 to our 学生健康服务部主任 .
5. Request that we change certain parts of 你r medical 信息. 我们可以拒绝你的 request if we did not create the 信息 你 want changed or for certain other 原因. If we deny 你r request, we will provide 你 with a written explanation. You may respond with a statement of disagreement that will be added to the 信息 你想要改变. If we accept 你r request to change the 信息, we will make reasonable efforts to tell others, including people 你 name, of the change and to include the changes in any future sharing of that 信息.
6. If 你 wish to receive a paper copy of this privacy notice, then 你 have the right to obtain a paper copy by making a request 以书面形式 to our Director of Student 健康 服务.

问题及投诉
If 你 have any questions about this notice, please ask a Student 健康 服务 Receptionist to speak to our Director of Student 健康 服务. 如果你认为 we may have violated 你r privacy rights, 你 may speak to our Director of Student 并提交书面投诉. 采取任何一种行动，请通知 the Student 健康 服务 Receptionist that 你 wish to contact the Director of 学生健康服务或索取投诉表格. 你可以提交书面投诉 到美国.S. Department of 健康 and Human 服务; we will provide 你 with the 提交投诉的地址. 如果你选择起诉，我们不会以任何方式进行报复 投诉.