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Privacy Statement
U
niversity of Denver Health & Counseling Center (HCC)
HIPAA Notice of Privacy Practices

THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN ACCESS THIS INFORMATION.

Please review carefully. 

If you have any questions about this notice, please contact Michael LaFarr, Executive Director, University of Denver Health and Counseling at (303) 871-2205.

WHO WILL FOLLOW THIS NOTICE: 

  • University of Denver Health & Counseling Center
  • United Healthcare Student Resources
This notice describes our privacy practices. All the above named entities, sites, and locations follow the terms of this notice. In addition, these entities, sites, and locations may share health information with each other for treatment, payment, or health care operations purposes described in this notice.

OUR PLEDGE REGARDING HEALTH INFORMATION: 

We understand that health information about you and your health care is personal. We are committed to protecting health information about you. We create a record of the care and services you receive from us. We need this record to provide you with quality care and to comply with certain legal requirements. This notice applies to all of the records of your care generated by this health care practice, whether made by your personal doctor, counselor or other staff members working in this office. This notice will tell you about the ways in which we may use and disclose health information about you. We also describe your rights to the health information we keep about you, and describe certain obligations we have regarding the use and disclosure of your health information.

We are required by law to:
  • make sure that health information that identifies you is kept private;
  • give you this notice of our legal duties and privacy practices with respect to health information about you; and
  • follow the terms of the notice that are currently in effect.

HOW WE MAY USE AND DISCLOSE HEALTH INFORMATION ABOUT YOU: 

The following categories describe different ways that we use and disclose health information. For each category of uses or disclosures we will explain what we mean and try to give some examples. Not every use or disclosure in a category will be listed; however, all of the ways we are permitted to use and disclose information will fall within one of the categories. Please note that, for some of the categories below, there are additional protections for your confidentiality with regard to your treatment through the Counseling services provided at the Health and Counseling Center. Confidentiality rights for counseling clients are described in detail in the "Client Rights and Informed Consent" form.

For Treatment: We may use health information about you to provide you with health care treatment or services. We may disclose health information about you to doctors, nurses, technicians, health students, or other personnel who are involved in taking care of you. They may work at our offices, at the hospital if you are hospitalized under our supervision, or at another doctor's office, lab, pharmacy, or other health care provider to whom we may refer you for consultation, to take x-rays, to perform lab tests, to have prescriptions filled, or for other treatment purposes. If you transfer your care from our entities to another provider of care, we will ask that you fill out a request for release of information form.

For Payment: We may use and disclose health information about you so that the treatment and services you receive from us may be billed to and payment collected from you, an insurance company, or a third party. For example, we may need to give your health plan information about your office visit so your health plan will pay us or reimburse you for the visit. We may also tell your health plan about a treatment you are going to receive to obtain prior approval or to determine whether your plan will cover the treatment.

For Health Care Operations: We may use and disclose health information about you for operations of our health care practice. These uses and disclosures are necessary to run our practice and make sure that all of our patients receive quality care. For example, we may use health information to review our treatment and services and to evaluate the performance of our staff in caring for you. We may also combine health information about many patients to decide what additional services we should offer, what services are not needed, whether certain new treatments are effective, or to compare how we are doing with others and to see where we can make improvements. We may remove information that identifies you from this set of health information so others may use it to study health care delivery without learning who our specific patients are.

Appointment Reminders: We may use and disclose health information to contact you as a reminder that you have an appointment. We will disclose as little health information as possible within this reminder. Be sure to inform the HCC of your correct contact information. This information should also be current on the University of Denver's main system (PioneerWeb).

Health-Related Services and Treatment Alternatives: We may use and disclose health information to tell you about health-related services or recommend possible treatment options or alternatives that may be of interest to you. Please let us know if you do not wish us to send you this information, or if you wish to have us use a different address to send this information to you.

As Required By Law: We will disclose health information about you when required to do so by federal, state, or local law.

To Avert a Serious Threat to Health or Safety: We may use and disclose health information about you when necessary to prevent a serious threat to your health and safety or the health and safety of the public or another person. Any disclosure, however, would only be to someone able to help prevent the threat.

Military and Veterans: If you are a member of the armed forces or separated/discharged from military services, we may release health information about you as required by military command authorities or the Department of Veterans Affairs as may be applicable. We may also release health information about foreign military personnel to the appropriate foreign military authorities.

Public Health Risks: We may disclose health information about you for public health activities.
These activities generally include the following:
  • to prevent or control disease, injury or disability;
  • to report births and deaths;
  • to report child abuse or neglect;
  • to report reactions to medications or problems with products;
  • to notify people of recalls of products they may be using;
  • to notify person or organization required to receive information on FDA-regulated products;
  • to notify a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition;
  • to notify the appropriate government authority if we believe a patient has been the victim of abuse, neglect, or domestic violence. We will only make this disclosure if you agree or when required or authorized by law.
Health Oversight Activities: We may disclose health information to a health oversight agency for activities authorized by law. These oversight activities include, for example, audits, investigations, inspections, and licensure. These activities are necessary for the government to monitor the health care system, government programs, and compliance with civil rights laws.

Lawsuits and Disputes: If you are involved in a lawsuit or a dispute, we may disclose health information about you in response to a court or administrative order. We may also disclose health information about you in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the information requested.

Law Enforcement: We may release health information if asked to do so by a law enforcement official:
  • in reporting certain injuries, as required by law, gunshot wounds, burns, injuries to perpetrators of crime;
  • in response to a court order, subpoena, warrant, summons or similar process;
  • to identify or locate a suspect, fugitive, material witness, or missing person:
    • Name and address
    • Date of birth or place of birth;
    • Social security number;
    • Blood type or Rh factor;
    • Type of injury;
    • Date and time of treatment and/or death, if applicable; and
    • A description of distinguishing physical characteristics.
  • about the victim of a crime, if the victim agrees to disclosure or under certain limited circumstances, we are unable to obtain the person's agreement;
  • about a death we believe may be the result of criminal conduct;
  • about criminal conduct at our facility; and
  • in emergency circumstances to report a crime;
  • the location of the crime or victims; or
  • the identity, description, or location of the person who committed the crime.
Coroners, Health Examiners and Funeral Directors: We may release health information to a coroner or health examiner. This may be necessary, for example, to identify a deceased person or determine the cause of death. We may also release health information about patients to funeral directors as necessary to carry out their duties.

National Security and Intelligence Activities: We may release health information about you to authorized federal officials for intelligence, counterintelligence, and other national security activities authorized by law.

Protective Services for the President and Others: We may disclose health information about you to authorized federal officials so they may provide protection to the President, other authorized persons or foreign heads of state or conduct special investigations.

Inmates: If you are an inmate of a correctional institution or under the custody of a law enforcement official, we may release health information about you to the correctional institution or law enforcement official. This release would be necessary (1) for the institution to provide you with health care; (2) to protect your health and safety or the health and safety of others; or (3) for the safety and security of the correctional institution.

Research: We may use or disclose health information about you for the purposes of research, in accordance with the relevant federal HIPAA privacy regulations.

YOUR RIGHTS REGARDING HEALTH INFORMATION ABOUT YOU 

You have the following rights regarding health information we maintain about you:

Right to Inspect and Copy. You have the right to inspect and copy health information that may be used to make decisions about your care. Usually, this includes health and billing records. State law allows medical facilities to charge reasonable copying fees when information is requested for non-healthcare related purposes. This does not include psychotherapy notes
.

To inspect and copy health information that may be used to make decisions about you, you must submit your request in writing to the University of Denver Health and Counseling. If you request a copy of the information, we may charge a fee for the costs of copying, mailing or other supplies and services associated with your request. We may deny your request to inspect and copy in certain very limited circumstances. If you are denied access to health information, you may request that the denial be reviewed. Another licensed health care professional chosen by our practice will review your request and the denial. The person conducting the review will not be the person who denied your request. We will comply with the outcome of the review.

Right to Amend. If you feel that health information we have about you is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment for as long as we keep the information. To request an amendment, your request must be made in writing, submitted to the Executive Director, University of Denver Health and Counseling, and must be contained on one page of paper legibly handwritten or typed in at least 10 point font size. In addition, you must provide a reason that supports your request for an amendment.

We may deny your request for an amendment if it is not in writing or does not include a reason to support the request. In addition, we may deny your request if you ask us to amend information that:

  • was not created by us, unless the person or entity that created the information is no longer available to make the amendment;
  • is not part of the health information kept by or for our practice;
  • is not part of the information which you would be permitted to inspect and copy; or
  • is accurate and complete.
Any amendment we make to your health information will be disclosed to those with whom we disclose information as previously specified.

Right to an Accounting of Disclosures. You have the right to request a list accounting for any disclosures of your health information we have made, except for uses and disclosures for treatment, payment, and health care operations, as previously described.

To request this list of disclosures, you must submit your request in writing to the Executive Director, University of Denver Health and Counseling. Your request must state a time period which may not be longer than ten years. For additional lists, we may charge you for the costs of providing the list. We will notify you of the cost involved and you may choose to withdraw or modify your request at that time before any costs are incurred. We will mail you a list of disclosures in paper form within 30 days of your request, or notify you if we are unable to supply the list within that time period and by what date we can supply the list; but this date will not exceed a total of 60 days from the date you made the request.

Right to Request Restrictions. You have the right to request a restriction or limitation on the health information we use or disclose about you for treatment, payment, or health care operations. You also have the right to request a limit on the health information we disclose about you to someone who is involved in your care or the payment for your care, such as a family member or friend. For example, you could ask that we restrict a specified nurse from use of your information, or that we not disclose information to your spouse about a surgery you had. We are not required to agree to your request for restrictions if it is not feasible for us to ensure our compliance or believe it will negatively impact the care we may provide you. If we do agree, we will comply with your request unless the information is needed to provide you emergency treatment. To request a restriction, you must make your request in writing to the Executive Director, University of Denver Health and Counseling. In your request, you must tell us what information you want to limit and to whom you want the limits to apply; for example, use of any information by a specified nurse, or disclosure of specified surgery to your spouse.

Right to Request Confidential Communications. You have the right to request that we communicate with you about health matters in a certain way or at a certain location. For example, you can ask that we only contact you at work or by mail to a post office box. To request confidential communications, you must make your request in writing to the University of Denver Health and Counseling Center. We will not ask you the reason for your request. We will accommodate all reasonable requests. Your request must specify how or where you wish to be contacted.

Right to a Paper Copy of This Notice. You have the right to obtain a paper copy of this notice at any time. However, at the time of first service rendered after April 14, 2003, it is required that you receive a paper copy. To obtain a copy, please request it from the University of Denver Health and Counseling.

You may also obtain a copy of this notice either from our website, www.du.edu/hcc, or by requesting a copy of this notice be sent through electronic mail to info@hcc.du.edu. If we know that the electronic message has failed to be delivered, a paper copy of the notice will be provided. Even if you have received a notice electronically, you still retain the right to receive a paper copy upon request.

If the first service delivery is delivered electronically, other than by telephone, we provide electronic notice in the same medium, automatically and contemporaneously in response to a first request for service.

CHANGES TO THIS NOTICE 

We reserve the right to change this notice. We reserve the right to make the revised or changed notice effective for health information we already have about you as well as any information we receive in the future. We will post a copy of the current notice in our facility. The notice will contain on the first page, in the top right-hand corner, the effective date. You may obtain a copy of the revised notice in effect upon your request.

COMPLAINTS 

If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services. To file a complaint with us, contact the Executive Director, University of Denver Health and Counseling. All complaints must be submitted in writing. You will not be penalized for filing a complaint.

OTHER USES OF HEALTH INFORMATION 

Other uses and disclosures of health information not covered by this notice or the laws that apply to us will be made only with your written permission. If you provide us permission to use or disclose health information about you, you may revoke that permission, in writing, at any time. If you revoke your permission, we will no longer use or disclose health information about you for the reasons covered by your written authorization. You understand that we are unable to take back any disclosures we have
already made with your permission, and that we are required to retain our records of the care that we provided to you.

Consent for Treatment & Explanation of Policies  

The University of Denver Health & Counseling Center (DU HCC) strictly protects the privacy of information related to your health and any care you receive at our center. In order to provide the best possible treatment, your health provider may consult with other professionals within the DU HCC about issues directly related to your treatment.
 
Any information, which is part of your record at the DU HCC, will be treated with the strictest confidentiality. There are some important legally mandated exceptions to confidentiality. These include:
  • Threat of immediate danger to self or others (e.g., suicide or homicide);
  • Reportable conditions diagnosed by Health Services, such as COVID-19, meningitis and sexually transmitted infections which constitute public health risks;
  • Any incidence of suspected elder, dependent adult or child abuse, neglect, or maltreatment in order to protect the individuals involved;
  • Clinicians or clinical records may be subpoenaed by the court in legal cases.
  • Additionally, in regard to positive COVID-19 results, this consent authorizes the testing facility used by the University of Denver to release positive results to the University in order to initiate treatment, quarantine and isolation, and contract tracing as deemed necessary.
In the event of an emergency, the DU HCC may contact any persons who can help facilitate your care (e.g., other professionals, referral sources, family or friends identified as potential resources) and information needed to provide appropriate treatment may be disclosed. The DU HCC depersonalizes and aggregates information for internal and external research and reporting purposes. Except as noted herein, confidential information will not be disclosed without your written authorization to do so.

The DU HCC employs a secure health website in order to facilitate confidential health care. This website uses cookies and other electronic tracking systems to verify your identity and maintain your confidentiality. We will only communicate electronically with you regarding clinical issues through this secure health website.

The DU HCC is a training site for both healthcare and mental health professionals. As such, you may be seen by a medical or counseling provider in training. In such cases, you will be notified of your provider's trainee status and the name of their supervisor. Questions regarding your care can be directed to the supervisor of the provider you are seeing and/or the DU HCC Director. On occasion clients may find themselves working alongside one of the DU HCC staff as part of a University activity. In these situations, DU HCC staff members take caution to protect clients' privacy and do not reveal whether any client has received services at the DU HCC.

This is a summary of your rights and responsibilities. Our full policies are available at www.du.edu/hcc and may be accessed at anytime.
I have read and understand what my rights and responsibilities are in entering into a healthcare relationship at DU HCC. I agree to show up for (or cancel) scheduled appointments and to seek medical/psychiatric consultation if recommended. I understand I may be subject to a cancellation or no show fee, if I do not cancel or attend my scheduled appointment.

If I have any questions about my rights, responsibilities, privacy and/or the operation of the DU HCC, I may ask my healthcare or mental health professional.

I have reviewed and read this document. I understand the information and policies, and am satisfied by the explanations. By clicking submit, I consent to treatment, and I acknowledge that I may withdraw this consent at any time.

Parent or legal guardian consent

According to Colorado state law, persons below the age of 18 years must have the consent of a parent or legal guardian in order to obtain medical care for most conditions other than true emergencies.

Acknowledgement of Receipt of this Notice 

By clicking submit on this page, you are acknowledging you have reviewed the HIPAA Notice of Privacy Practices from the University of Denver, Health & Counseling Center. This acknowledgement will be filed with your records.
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