Notice of Privacy Practices

Asbury University Student Health Services is permitted by federal privacy laws to make use and disclosure of your health information for purposes of treatment, payment, and health care operations. Protected health information is the information we create and obtain in providing our services to you. Such information may include documenting your symptoms, examination and test results, diagnoses, treatment, and any plans for future care or treatment. It also includes billing documents for those services.

Example of use of your health information for treatment purposes:

Information obtained by your health care team of providers (this includes but is not limited to physicians, nurses, specialists, and - as applicable - members of the Asbury University Center for Counseling, or the Asbury University Athletic Trainers) will be recorded in your medical record and used to determine the course of treatment deemed best for you.

Examples of uses of your health information for payment purposes:

  • Information may be released to insurance companies or an outside laboratory service in order for payment of services to be made.
  • In addition, if you desire, some health service charges may be billed to your student account. The student account clerk will only have your name, social security number, the amount billed, and the general account to be credited, not specifics of your diagnosis or treatment.

Examples of uses of your health information for health care operations:

  • We may obtain services from business associates such as quality assessment, quality improvement, training programs, credentialing, medical review, and insurance. We will share information about you with such business associates as necessary to obtain these services. To protect your health information, however, we require the business associate to appropriately safeguard your information.
  • As case managers, Asbury University Office of Human Resources may receive specific accident reports from any incidents on campus.

Your Health Information Rights

The health records we maintain are the physical property of Asbury University Health Services. With respect to your protected health information, you have the following rights:

  • Obtain a paper copy of this Notice of Privacy Practices upon verbal request
  • Inspect and copy your health record (we may charge you a fee for copying and postage)
  • Request that your health care record be amended to correct incomplete or incorrect information (the health care provider is not required to make such amendments, but will give each request careful consideration)
  • Obtain an accounting of disclosures of your health information (those made up to six years prior to the date of request). The accounting will not include uses of information for treatment, payment or operations, or disclosures made to you or made at your request
  • Request communications of your health information be made to you by alternative means (e.g., e-mail or fax) or at alternative locations (e.g., only at home or work), and/or request a restriction on certain uses and disclosures of your information - we are not required to grant the request but will accommodate reasonable requests when appropriate

If you want to exercise any of the above rights, please contact Carol Amey, Director of Health Services, ext. 2147. She will provide you with appropriate forms and assistance on the steps to take to exercise your rights.

Our Responsibilities

Asbury University Health Services is required to:

  • Maintain the privacy of your health information
  • Provide you with this notice as to our legal duties and privacy practices with respect to information we collect and maintain about you
  • Abide by the terms of this notice
  • Notify you if we cannot accommodate a requested restriction or request
  • Accommodate your request for an accounting of disclosures

We reserve the right to amend, change, or eliminate provisions in our privacy practices and access practices and to enact new provisions regarding the protected health information we maintain. If our information practices change, we will amend our notice. You are entitled to receive a revised copy of the notice by calling and requesting a copy or by picking up a copy at our office.

For more information or to report a problem

If you have questions, would like additional information, or want to report a problem regarding the handling of your information, you may contact the Health Services Privacy Official, Carol Amey, (859) 858-3511, ext. 2147.

Additionally, if you believe there may have been a violation of your rights, you may file a written complaint, either on paper or electronically, with the Health Services Privacy Official within 180 days of the violation. If a satisfactory resolution is not reached at this level, a complaint may then be filed with the Vice President for Student Development. Finally, if a satisfactory resolution still cannot be reached, a complaint may be filed with the Asbury University President, as Institutional Privacy Official, following investigation at the Vice Presidential level. You also have the right to file a complaint with the Secretary of Health and Human Services (Office of Civil Rights).

We cannot, and will not, require you to waive the right to file a complaint with any of the indicated officials as a condition of receiving treatment from Health Services. We also cannot, and will not, retaliate against you for filing a complaint.

Other uses and disclosures allowed by the privacy rule

  • Marketing: we may contact you to provide appointment reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to you.
  • Notification: unless you notify us that you object, we will confirm only the dates of illnesses to the Academic Dean or professors who request this information. Absolutely no other protected health information will be released without your specific authorization.
  • Food and Drug Administration (FDA): we may disclose health information relative to adverse events with respect to food, supplements, product and product defects, or post marketing surveillance information to enable product recalls, repairs, or replacement.
  • Workers' Compensation: we may disclose health information to the extent authorized by and to the extent necessary to comply with laws relating to workers compensation or other similar programs established by law.
  • Public Health: as required by law, we may disclose your health information to public health or legal authorities charged with preventing or controlling disease, injury, or disability.
  • Law Enforcement: we may disclose health information for law enforcement purposes as required by law or in response to a valid subpoena.
  • Other uses and disclosures besides those identified in this notice will be made only as authorized by law or with your written authorization which you may revoke except to the extent that information or action has already been taken.