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This Notice describes how medical information about you may be used and disclosed and how you can gain access to this information. Please review it carefully.

The Student Health Center has voluntarily chosen to adhere to the privacy rules established by The Health Insurance Portability and Accountability Act (HIPAA) of 1996. The Student Health Center is not an entity required to abide by HIPAA regulations.

The Student Health Center (SHC) use health information about you for treatment, to obtain payment for treatment at the Business Office, for administrative purposes, and to evaluate the quality of care that you receive. Continuity of care is part of treatment and your records may be shared with other providers to whom you are referred. Information may be shared by paper mail, electronic mail, fax, or other methods. The SHC may use or disclose identifiable health information about you without your authorization in several situations, but beyond those situations, we will ask for your written authorization before using or disclosing any identifiable health information about you.

In most cases, you have the right to look at or receive a copy of your health information. If you request copies, the SHC will charge you a only normal photocopy fees. You also have the right to receive a list of certain types of disclosures of your information that we have made. If you believe that information in your record is incorrect, you have the right to request that it be corrected.

The SHC is required by law to protect the privacy of your information, provide this notice about our information practices, follow the information practices that are described in this notice, and seek your acknowledgment of receipt of this notice. Before we make a significant change in our policies, we will change our notice and post the new notice in the waiting area. You can also request a copy of the notice at any time. For more information about our privacy practices, contact the person listed below.

The SHC is required by law to protect the privacy of your information, provide this notice about our information practices, follow the information practices that are described in this notice, and seek your acknowledgment of receipt of this notice. Before we make a significant change in our policies, we will change our notice and post the new notice in the waiting area. You can also request a copy of the notice at any time. For more information about our privacy practices, contact the person listed below.

If you have any questions or complaints, please contact:

Allison Case Barton, Student Health Center Coordinator, or her appointed designee
¾«¶«Ó°Òµ Student Health Center
7075 Campus Road, Moorpark, California 93021

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(805) 553-4183

This is an overview of our Privacy Practices. The Notice in its entirety is displayed in the Health Center's waiting area.