Confidentiality and Privacy Information
Your medical and counseling records at Health and Wellness Services are confidential. We comply with applicable federal and state laws regulating the privacy of medical and counseling information. No information is released without your express written permission except in circumstances that would result in clear danger to you or others, or as may be required by law.
Information Release Requests
At your first visit, you will be able to identify others who are permitted access to your protected health information and identify others involved in your care. If you would like copies of your protected health information disclosed or sent to a third party, complete the applicable form and submit it to our office:
- Medical: Medical Records Release Form (PDF)
- Counseling: Contact our office to request this release form.
- Accessibility: Contact our office to request this release form.
Additional Information
- Notice of Privacy Practices for Protected Health Information
- Medical Services - Patient Rights and Responsibilities
- Counseling Services - Client Rights and Responsibilities
- FHSU Family Educational Rights and Privacy Act (FERPA) Notice
- Health Insurance Portability and Accountability Act of 1996 (HIPAA) (U.S. Department of Health and Human Services site)