FERPA, CHALLENGES FACING SCHOOL NURSES & DISCIPLINARY ACTIONS FERPA. MELANIE BALESTRA, MN, NP, JD JD August May 4, 22, 2012
|
|
|
- Reginald Jackson
- 5 years ago
- Views:
Transcription
1 FERPA, CHALLENGES FACING SCHOOL NURSES & DISCIPLINARY ACTIONS FERPA MELANIE BALESTRA, MN, NP, JD JD August May 4, 22, 2012
2 Definition Family Education Rights and Privacy Act of 1974 (Buckley Amendment) Protects Privacy of student educational records Guarantees students the right to review education records and seek to amend those records Gives students the right to limit disclosure of information from their records
3 FERPA Amended in 1998 Allows release of final results of disciplinary proceeding against an accused student who is alleged perpetrator of a crime of violence or non-forcible sex offense who was found responsible for violation of related institutional rules. Allows disclosure to parent or legal guardian regarding student s violation of any law or instructional rule or policy governing use or possession of alcohol or a controlled substance is student under 21.
4 Other Amendments 2000 Campus Sex Crimes Prevention Act which also allows disclosure of information concerning registered sex offenders USA Patriot Act which allows Attorney General to collect and use education records relevant to investigation and prosecution of crimes related to acts of terrorism.
5 Relationship of HIPAA and FERPA HIPAA excludes records covered by FERPA FERPA governs the disclosure of information from the education record which includes immunizations
6 Laws Governing the Transfer of Immunization Information Disclosure to public health: HIPAA and state/local law Disclosure from public health: HIPAA and/or state/local law Disclosure to schools: HIPAA and state/local law Disclosure from schools: FERPA
7 Educational Records Covered by FERPA Sole possession records personal notes or records retained for his own personal record. Not instructor s notes. Peer graded classwork once instructors collects and leaves classroom. Law enforcement records maintained and revealed to only law enforcement agencies.
8 Educational Records Covered by FERPA Employment records related to non-work study employment situations Medical records created by health care professional and used only for treatment of the student. Alumni records related only to alumni donations and activities with alumni association.
9 Definition of Education Records Those records that contain information directly related to a student and which are maintained by an educational agency or institution or by a party acting for the agency or institution.
10 Who Can Access Student Records Without Consent? Custodial and non custodial parents unless a court order or State law provides to the contrary. School must provide parent opportunity to review within 45 days after request.
11 Amendment of Education Records At parent s request, school must consider but not required to amend.
12 When Does FERPA Permit a School Non- Consensually to Disclose Personally Identifiable Information When used for directory information non harmful information School gives public notice of types of information that will be disclosed Comptroller General of United States In connection with financial aid State and local authorities pursuant to statute concerning juvenile justice Organizations conducting studies Comply with judicial order In connection with health or safety emergency
13 Annual Notification School must annually notify parents and students in attendance of their rights under FERPA Student handbook Notice to parents Calendar of events School s website Local Newspaper Posted in central location at school Annual notice of rights
14 Summary If health information is part of education record, it is subject to FERPA If health information is not part of education record, and it is transmitted electronically in connection with a HIPAA transaction, it is subject to HIPAA and not subject to FERPA
15 Challenges Facing School Nurses Complex student needs Asthma Diabetes Seizure disorders Disabled children Obesity Domestic abuse
16 Challenges Facing School Nurses
17 Challenges Facing School Nurses Insufficient Funding CDC states 75% of every healthcare dollar goes to chronic conditions Correlation between lower grades and youth health risk behaviors such as smoking, acts of violence, and unsafe sex
18 Challenges Facing School Nurses Serving two masters Educators answer to local taxpayers and meet state and federal academic standards Health care answers to insurers, licensing boards, and professional associations for quality of care as well of scope of practice issues
19 Challenges Facing School Nurses Staffing patterns
20 Challenges Facing School Nurses Research indicates that school nurse when present every day advance the twin goals of improving health and educational outcomes Goal of federal government is a 1:750 ratio
21 Challenges Facing School Nurses How many Nurses Do Schools Need? Districts must consider several factors Student Demographics How many students in good health? Chronic conditions Mental health problems Multiple disabilities Staffing patterns Full-time or part-time One building or many Alone or as part of a team
22 Challenges Facing School Nurses Districts must consider several factors Available Support Services District Regional State Access to Care Affordable health services readily available
23 Challenges Facing School Nurses What qualifies a school nurse for practice? Assess student health Develop and execute plans for management of care Act as first responders Engage in public health functions such as disease surveillance, immunization compliance and health promotion
24 Challenges Facing School Nurses Who is responsible for? LVNs Lack training for full scope of school nursing practice Unlicensed personnel
25 Challenges Facing School Nurses Risk Management for delegation of school nurse tasks Protocols Physician order Parent permission Trained staff Follow appropriate procedure Original container All medications locked up Medication log
26 Challenges Facing School Nurses Protocols Emergency medications may be carried with proper procedure Confidentiality Acceptance of liability from school district
27 Challenges Facing School Nurses How is it done? Protocols Medication administration regulations Team approach School nurse, paraprofessionals and other staff Must be trained to follow proper protocols and recognize complications Record keeping Ask questions Confidentiality
28 Challenges Facing School Nurses Provide technical support to school districts Provide training for school personnel under guidance of school nurse Provide guidance for compliance and safety to school nurses and others Develop and maintain partnerships with other medical/health providers
29 Challenges Facing School Nurses Increase in chronic illness Increased medication administration Advances in medical research and technology Complex level of care needs Risks to student safety Standardized health care practice
30 Disciplinary Actions Who is in charge? Federal Tort Claims Act Personal liability tort litigations against federal employees Whether employee is named in caption Whether there is an allegation that employee acted wrongfully Whether the prayer for relief seeks monetary damages School nurses are covered
31 Disciplinary Actions Who is in charge? What the Federal Tort Claims Act does not do? No choice of attorneys Must do what government tells you to No protection against a disciplinary action
32 Disciplinary Actions Who is in charge? Protection against disciplinary action Document, document, document Malpractice/disciplinary insurance Allows you do have your own attorney Provides you disciplinary coverage if there is a complaint to the BRN
33 Disciplinary Action Who is in charge? How to choose an insurance carrier Occurrence coverage Highest amount of coverage Allows you to choose your own attorney Has an advisory panel made up of RNs, NPs, CNS Easy to contact and work with in any situation
34 Disciplinary Action Who is in charge? What insurance company provides all of the above Only one to date: Nurses Service Organization
35 Disciplinary Action Who is in charge? What happens in a disciplinary action? Letter from the BRN Meeting with investigator Referred to Attorney General
36 Disciplinary Action Who is in charge? What are the possible outcomes of a disciplinary action? Dismissal Citation Public Reproval Suspension Revocation Revocation with a Stay
37 Preventing Disciplinary Actions Know your scope of practice Know your Nurse Practice Act Education and training File sentinel event reports Parent relationships Follow-up Document, Document, Document
38 Conclusion School nurses are held to the highest standard. The only way to protect yourselves is to be confident in the people working under you. Make sure you have your own malpractice and disciplinary insurance.
39 References dex.html The Green Book: Guidelines for Provision of Specialized Physical Healthcare Services in California Schools.
40 Questions?
Patient Privacy Requirements Beyond HIPAA
Patient Privacy Requirements Beyond HIPAA Jane Hyatt Thorpe, J.D. School of Public Health and Health Services George Washington University Carrie Bill, J.D. Feldesman Tucker Leifer Fidell LLP The George
Appendix E Checklist for Campus Safety and Security Compliance
Checklist for Campus Safety and Security Compliance The Handbook for Campus Safety and Security Reporting 267 This page intentionally left blank. Checklist for the Various Components of Campus Safety and
Regulatory Issues Facing Student Health Centers Presented by: Richard T. Yarmel and Edward H. Townsend
Higher Education Institute: Avoiding Compliance Pitfalls Across Your Campus From Admissions to the Title IX Office to the Board Room Regulatory Issues Facing Student Health Centers Presented by: Richard
Campus Crime & Security Report Harrisburg Campus
Campus Crime & Security Report Harrisburg Campus Harrisburg University of Science & Technology strives to offer a safe and secure campus. The Director of Compliance has the primary responsibility for supervising
Parental Consent For Minors to Receive Services
Parental Consent For Minors to Receive Services Welcome to the University of San Diego s Wellness Area! We appreciate your coming our way, and look forward to working with you. The following provides important
CAPITAL SURGEONS GROUP, PLLC
CAPITAL SURGEONS GROUP, PLLC NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW
PROCEDURE-STUDENT RECORDS
PROCEDURE-STUDENT RECORDS 3600P This procedure specifies the management of student records by the District. These procedures are aligned with the Family Educational Rights and Privacy Act (FERPA). Type
PATIENT INFORMATION Indiana Plastic Surgery Center, PC
PATIENT INFORMATION DATE: / / PHYSICIAN REFERAL: FAMILY/FRIEND REFERAL: PRIMARY CARE PHYSICIAN: LAST NAME FIRST M.I. HOME ( ) - CELL( ) - WORK( ) - EMAIL MAY WE CONTACT YOU: BY CELL PHONE / TEXTING?: YES
Notice of HIPAA Privacy Practices Updates
Notice of HIPAA Privacy Practices Updates The following is a summary of the updates to the privacy notice for Meridian Hospitals Corporation, Meridian Home Care Services, Inc., Meridian Nursing & Rehabilitation,
HIPAA PRIVACY NOTICE
HIPAA PRIVACY NOTICE PLEASE REVIEW THIS NOTICE CAREFULLY. IT DESCRIBES HOW YOUR MEDICAL INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU MAY GAIN ACCESS TO THAT INFORMATION. POLICY STATEMENT This Practice
R. Gregory Cochran, MD, JD
California Academy of Attorneys for Health Care Professionals October 19-21, 2012 Government Subpoenas (and other Requests) and Health Privacy Considerations R. Gregory Cochran, MD, JD Overview Overview
HH Health System-Shoals, LLC dba Helen Keller Hospital Notice of Privacy Practices
HH Health System-Shoals, LLC dba Helen Keller Hospital Notice of Privacy Practices THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
Notice of Privacy Practices
Notice of Privacy Practices Effective September 23, 2013 TCHC.org An equal opportunity employer and provider. CLINICS Baxter Bertha Henning Ottertail Sebeka Verndale Wadena HOSPITAL Wadena 415 Jefferson
HIPAA Notice of Privacy Practices
HIPAA Notice of Privacy Practices Georgia Mountains Hospice understands that your health information is highly personal and we are committed to safeguarding your privacy. Please read this Notice of Privacy
NOTICE OF PRIVACY PRACTICES
NOTICE OF PRIVACY PRACTICES This notice describes how Pine Creek Medical Center may use and disclose your medical information, and how you may access this information. Please read through and review it
Privacy Rio Grande Valley HIE Policy: P1. Last date Revised/Updated 02/18/2016
Privacy Rio Grande Valley HIE Policy: P1 Effective Date 01/15/2014 Last date Revised/Updated 02/18/2016 Date Board Approved: 02/18/2016 Subject: Authorization to Use and/or Disclose Protected Health Information
NOTICE OF PRIVACY PRACTICE UNIVERSITY OF CALIFORNIA SAN FRANCISCO DENTAL CENTER
Effective Date: February 1, 2018 NOTICE OF PRIVACY PRACTICE UNIVERSITY OF CALIFORNIA SAN FRANCISCO DENTAL CENTER THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW
HIPAA-HITECH HELPBOOK NJ Physician Practices
NOTICE OF PRIVACY PRACTICES Montgomery Medical Associates LLC Effective Date: 04/01/13 Version 2 SUMMARY WHAT IS THIS NOTICE FOR? This Notice of Privacy Practices (Notice) describes how Montgomery Medical
Massachusetts Department of Public Health. Privacy of Health Data
Massachusetts Department of Public Health Privacy of Health Data Institutional Commitment to Privacy Privacy and Data Access Office Staffing Privacy Attorney Confidential Data Officer Admin Support Goals
NOTICE OF PRIVACY PRACTICES
THIS NOTICE OF PRIVACY PRACTICES ( NOTICE ) DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED, AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. Respect for
Notice of Privacy Practices for Protected Health Information
Notice of Privacy Practices for Protected Health Information This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review
NOTICE OF PRIVACY PRACTICES
NOTICE OF PRIVACY PRACTICES Effective Date: July 12, 2017 THIS NOTICE OF PRIVACY PRACTICES ( NOTICE ) DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED, AND HOW YOU CAN GET ACCESS TO
SUMMARY OF THE CIRCUMSTANCES AND PURPOSES FOR WHICH YOUR HEALTH INFORMATION MAY BE USED AND DISCLOSED
374 Hudlow Road, Post Office Box 336 Forest City, NC 28043 Phone: (828) 245-0095 FAX: (828) 248-1035 Toll Free: 1-800-218-CARE (2273) HOSPICE OF RUTHERFORD COUNTY PRIVACY PRACTICES THIS NOTICE DESCRIBES
NOTICE OF PRIVACY PRACTICES UNIVERSITY OF CALIFORNIA RIVERSIDE CAMPUS HEALTH CENTER
NOTICE OF PRIVACY PRACTICES UNIVERSITY OF CALIFORNIA RIVERSIDE CAMPUS HEALTH CENTER Effective Date: April 14, 2003 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND
Balance Fitness and Nutrition
Balance Fitness and Nutrition HIPPA Notice of Privacy Practices Effective Date: January 29, 2012 THIS NOTICE DESCRIBES HOW PROTECTED HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN
FAMILY PHARMACEUTICAL SERVICES NOTICE OF PRIVACY PRACTICES effective 9/23/2013
FAMILY PHARMACEUTICAL SERVICES NOTICE OF PRIVACY PRACTICES effective 9/23/2013 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
NOTICE OF PRIVACY PRACTICES Mid-Atlantic Women s Care, PLC Effective Date: September 23, 2013 Last Revised: February 15, 2018
NOTICE OF PRIVACY PRACTICES Mid-Atlantic Women s Care, PLC Effective Date: September 23, 2013 Last Revised: February 15, 2018 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED
NOTICE OF PRIVACY PRACTICES MOUNT CARMEL HEALTH SYSTEM
NOTICE OF PRIVACY PRACTICES MOUNT CARMEL HEALTH SYSTEM Effective Date: 9/23/ 2013 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED, AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED, AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. I. WHO WE ARE This Notice describes the privacy
Associates in ear, nose, throat/ Head & Neck surgery, pllc
Associates in ear, nose, throat/ Head & Neck surgery, pllc Notice of Privacy Practices for Protected Health Information Associates in Ear, Nose & Throat (ENT) is providing this Notice to comply with the
NOTICE OF PRIVACY PRACTICES
NOTICE OF PRIVACY PRACTICES Effective Date: May 31, 2013 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW
NOTICE OF PRIVACY PRACTICES
535 East 70th Street New York, NY 10021 (212) 606-1000 Specialists in Mobility NOTICE OF PRIVACY PRACTICES Effective Date: April 14, 2003 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE
NOTICE OF PRIVACY PRACTICES
Amended September 2013 NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
NOTICE OF PRIVACY PRACTICES This Notice is effective September 23, 2013
NOTICE OF PRIVACY PRACTICES This Notice is effective September 23, 2013 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
WAKE FOREST BAPTIST HEALTH NOTICE OF PRIVACY PRACTICES
WAKE FOREST BAPTIST HEALTH NOTICE OF PRIVACY PRACTICES Effective April 14, 2003 Revised February 17, 2010 Revised September 23, 2013 Revised July 1, 2016 This Notice of Privacy Practices applies to the
NOTICE OF PRIVACY PRACTICES
NOTICE OF PRIVACY PRACTICES Effective Date: 2013 Wisconsin Dental Association (800) 243-4675 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS
PRIVACY POLICY USES AND DISCLOSURES FOR TREATMENT, PAYMENT, AND HEALTH CARE OPERATIONS
PRIVACY POLICY As of April 14, 2003, the Federal regulation on patient information privacy, known as the Health Insurance Portability and Accountability Act (HIPAA), requires that we provide (in writing)
If you have any questions about this notice, please contact our privacy officer Dr. Jev Sikes at
Notice of Privacy Practices For Deep Eddy Psychotherapy THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT
Internship Application Student Teacher Acceptance
Orange County Public Schools agrees to accept the following intern for : Internship Application Student Teacher Acceptance Internship Type: Junior Senior Field Experience: ( Field Experience hours for
L Ecole Culinaire Memphis
2011 ANNUAL SECURITY REPORT Campus security and safety are important issues in postsecondary education today. In recognition of this fact, and in keeping with applicable federal requirements, L Ecole Culinaire
JOINT NOTICE OF PRIVACY PRACTICES
JOINT NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. Who Will Follow This Notice PLEASE REVIEW
NOTICE OF PRIVACY PRACTICES
EFFECTIVE DATE: APRIL 14, 2003 NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW
Notice of Privacy Practices
Notice of Privacy Practices, pg. 1 of 5 Notice of Privacy Practices CATHOLIC CHARITIES OF THE ROMAN CATHOLIC DIOCESE OF SYRACUSE, NY This notice describes the privacy practices of Catholic Charities of
ERIE COUNTY MEDICAL CENTER CORPORATION NOTICE OF PRIVACY PRACTICES. Effective Date : April 14, 2003 Revised: August 22, 2016
ERIE COUNTY MEDICAL CENTER CORPORATION NOTICE OF PRIVACY PRACTICES Effective Date : April 14, 2003 Revised: August 22, 2016 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED
PURDUE UNIVERSITY WEST LAFAYETTE, INDIANA SCHOOL OF NURSING STUDENT DRUG TESTING POLICY PRIOR TO PARTICIPATION IN CLINICAL ACTIVITIES
PURDUE UNIVERSITY WEST LAFAYETTE, INDIANA SCHOOL OF NURSING EFFECTIVE DATE: 02/17/12 REVISED DATE: REVIEW DATE: Introduction STUDENT DRUG TESTING POLICY PRIOR TO PARTICIPATION IN CLINICAL ACTIVITIES This
NOTICE OF PRIVACY PRACTICES Occupations, Inc. 15 Fortune Road West Middletown, NY 10941
NOTICE OF PRIVACY PRACTICES Occupations, Inc. 15 Fortune Road West Middletown, NY 10941 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS
Policy 3.19 Workplace Violence and Threat Assessment Team
Policy 3.19 Workplace Violence and Threat Assessment Team Purpose John Tyler is concerned about the safety, health and well-being of all of its students, faculty and staff. In adherence to Virginia Code
MURRAY MEDICAL CENTER HIPAA NOTICE OF PRIVACY PRACTICES
CW CR 618 Exhibit A MURRAY MEDICAL CENTER HIPAA NOTICE OF PRIVACY PRACTICES Effective Date: THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS
PEDIATRIC HEALTH ASSOCIATES HIPAA NOTICE OF PRIVACY PRACTICES
Policy effective date: 4-14-2003 Revised January 2014 PEDIATRIC HEALTH ASSOCIATES HIPAA NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND
A Guide for Students
A Guide for Students Reporting Options and Resources for Complaints about Sexual Misconduct and Sexual Violence The University of Rochester is committed to the health and safety of every student, and to
MAIN STREET RADIOLOGY
MAIN STREET RADIOLOGY PATIENT REGISTRATION FORM **OFFICE USE ONLY** TODAY S DATE: MR#: LAST NAME: FIRST NAME: ADDRESS: APT: CITY: STATE: ZIP CODE: HOME PHONE #: ( ) - CELL PHONE#: ( ) - DATE OF BIRTH:
NOTICE OF PRIVACY PRACTICES
NOTICE OF PRIVACY PRACTICES Effective Date: April 14, 2003 Revised: September 23, 2013 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS
NOTICE OF PRIVACY PRACTICES
Student Health NOTICE OF PRIVACY PRACTICES UNIVERSITY OF CALIFORNIA STUDENT HEALTH SYSTEM THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO
NOTICE OF PRIVACY PRACTICES
NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. WHY ARE YOU GETTING
School Based Oral Health Services
Seal a Smile Oral Health Program A project of Whitney M. Young Jr. Health Services and the Healthy Capital District Initiative School Based Oral Health Services Oral health classroom education Dental screenings
This notice describes Florida Hospital DeLand s practices and that of: All departments and units of Florida Hospital DeLand.
MRN: FIN: FLORIDA HOSPITAL DELAND HIPAA NOTICE OF PRIVACY PRACTICES Effective Date: September 23, 2013 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN
NOTICE OF PRIVACY PRACTICES UNIVERSITY OF CALIFORNIA IRVINE HEALTHSYSTEM
Effective Date: April 14, 2003 NOTICE OF PRIVACY PRACTICES UNIVERSITY OF CALIFORNIA IRVINE HEALTHSYSTEM THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN
BASSIN CENTER FOR PLASTIC SURGERY. Dr. Roger Bassin NOTICE OF PRIVACY PRACTICES
BASSIN CENTER FOR PLASTIC SURGERY Dr. Roger Bassin NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED, AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
NOTICE OF PRIVACY PRACTICES
NOTICE OF PRIVACY PRACTICES 1 Effective Date: April 14, 2003 Revision Date: September 23, 2013 Revision Date: January 17, 2018 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED
EMPLOYMENT PRE-SCREEN QUESTIONNAIRE
POSITION TITLE: APPLICANT NAME: APPLICANT MAILING ADDRESS: CONTACT NUMBER: EMAIL: 1. Have you ever served in the Military? 2. What is your highest level of education? HS Diploma/GED 2 Year degree 4 Year
Notice of Privacy Practices
Notice of Privacy Practices THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. If you have any
Notice of. Privacy Practices. Dartmouth-Hitchcock Affiliated Covered Entity
Notice of Privacy Practices Dartmouth-Hitchcock Affiliated Covered Entity This Notice describes how medical information about you may be used and disclosed and how you can get access to this information.
Notice of privacy practices
Notice of privacy practices This Notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully. Our staff are committed
New Patient Information
New Patient Information PATIENT INFORMATION M / F Last Name First Name Middle Name Suffix- Jr, Sr, etc. Mr, Mrs, Ms, Dr Sex Date of Birth Social Security Number Alias- Nickname (Last, First, Middle) Permanent
COMPLAINT FORM CONSENT AND RELEASE
COMPLAINT FORM CONSENT AND RELEASE This form must be completed whenever the BACB investigates a complaint that involves the provision of services to an adult, legal minor and/or incapacitated individual
PARAGOULD DOCTORS CLINIC PRIVACY NOTICE
PARAGOULD DOCTORS CLINIC PRIVACY NOTICE Protected Health Information THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE
North Georgia Technical College Annual Security Report 2011
North Georgia Technical College Annual Security Report 2011 ANNUAL CRIME STATISTICS; NGTC- Clarkesville Main Campus Offense Type Year On-Campus Residential Facility Non-Campus Building / Property Public
NOTICE OF PRIVACY PRACTICES
NOTICE OF PRIVACY PRACTICES 1 Effective Date: April 14, 2003 Revised: September 23, 2013 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO
Opp Health and Rehabilitation, LLC 115 Paulk Avenue P.O. Box 730 Opp, AL Phone Number: (334)
Opp Health and Rehabilitation, LLC 115 Paulk Avenue P.O. Box 730 Opp, AL 36467-1695 Phone Number: (334) 493-4558 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW
always legally required to follow the privacy practices described in this Notice.
The ANXIETY & STRESS MANAGEMENT INSTITUTE 1640 Powers Ferry Rd, Building 9, Suite 10 0, Marietta, Georgia 30067, 770-953-0080 Health Insurance Portability and Accountability Act (HIPAA) NOTICE OF PRIVACY
EFFECTIVE DATE: 10/04. SUBJECT: Primary Care Nurse Practitioners SECTION: CREDENTIALING POLICY NUMBER: CR-31
SUBJECT: Primary Care Nurse Practitioners SECTION: CREDENTIALING POLICY NUMBER: CR-31 EFFECTIVE DATE: 10/04 Applies to all products administered by the plan except when changed by contract Policy Statement:
INFORMED CONSENT FOR TREATMENT
INFORMED CONSENT FOR TREATMENT I (name of patient), agree and consent to participate in behavioral health care services offered and provided at/by Children s Respite Care Center, a behavioral health care
NOTICE OF PRIVACY PRACTICES
NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. Who Presents this
SUMMARY OF NOTICE OF PRIVACY PRACTICES
LAKE REGIONAL MEDICAL GROUP 54 HOSPITAL DRIVE OSAGE BEACH, MO 65065 SUMMARY OF NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU
Department of Juvenile Justice Guidance Document COMPLIANCE MANUAL 6VAC REGULATION GOVERNING JUVENILE SECURE DETENTION CENTERS
COMPLIANCE MANUAL 6VAC35-101 REGULATION GOVERNING JUVENILE SECURE DETENTION CENTERS This document shall serve as the compliance manual for the Regulation Governing Juvenile Secure Detention Centers 6VAC35-101)
Comparison of Sexual Assault Provisions in NDAA 2014 and Related Bills
Comparison of Sexual Assault Provisions in NDAA 2014 and Related Bills H.R. 1960 PCS NDAA 2014 Section 522 Compliance Requirements for Organizational Climate Assessments This section would require verification
JOINT NOTICE OF PRIVACY PRACTICES
JOINT NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED, AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. respects
New York Notice Form Notice of Psychologists Policies and Practices to Protect the Privacy of Your Health Information
New York Notice Form Notice of Psychologists Policies and Practices to Protect the Privacy of Your Health Information THIS NOTICE DESCRIBES HOW PSYCHOLOGICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED
NATIONAL ASSOCIATION FOR STATE CONTROLLED SUBSTANCES AUTHORITIES (NASCSA) MODEL PRESCRIPTION MONITORING PROGRAM (PMP) ACT (2016) COMMENT
1 NATIONAL ASSOCIATION FOR STATE CONTROLLED SUBSTANCES AUTHORITIES (NASCSA) MODEL PRESCRIPTION MONITORING PROGRAM (PMP) ACT (2016) SECTION 1. SHORT TITLE. This Act shall be known and may be cited as the
MSK Group, PC NOTICE O F PRIVACY PRACTICES Effective Date: December 30, 2015
MSK Group, PC NOTICE O F PRIVACY PRACTICES Effective Date: December 30, 2015 This notice describes how medical information about you may be used and disclosed and how you can get access to this information.
DEPARTM PRACTICES. Effective: Tel: Fax: to protecting. Alice Gleghorn, Page 1
SANTA BARBARA COUNTY DEPARTM MENT BEHAVIORAL WELLNESS NOTICE OF PRIVACY PRACTICES Effective: September 27, 2013 / Revision: January 7, 2015 This notice describes how medical information about you may be
POLICIES OF THE ASSESSMENT CENTER AT OAK HILL ACADEMY
9407 Midway Road Dallas, Texas 75220 Phone: 214-353-9323 Fax: 214-239-2958 POLICIES OF THE ASSESSMENT CENTER AT OAK HILL ACADEMY This document contains information about the Assessment Center at Oak Hill
1303A West Campus Drive
Page 1 of 5 Applies to: faculty staff student clinicians Effective Date of This Revision: April 6, 2005 student employees visitors contractors Contact for More Information: HIPAA Chief Privacy Officer
1.2 ADULT CLIENT INTAKE FORM: Client Information
1.2 ADULT CLIENT INTAKE FORM: Client Information FOR OFFICIAL USE ONLY: Client Number Effective Insurance No OH No CLIENT INFORMATION Client name of significant other CHILDREN INFORMATION of birth of birth
Name of Sex: M F Applicant: Last First Middle. Date of Birth: Social Security Number: Phone: ( ) City State Zip. Phone: ( ) City State Zip
SCHNEIDER REGIONAL MEDICAL CENTER 9048 SUGAR ESTATE ST. THOMAS, U.S.V.I 00802 APPLICATION FOR TEMPORARY PRIVILEGES (USED FOR URGENT PATIENT NEED AND LOCUM TENENS) COMPLETE THE APPLICATION IN FULL. PRINT
S.E. Wisconsin Hearing Center Inc.
NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. Effective Date:
Senior Care Pharmacy Wichita
Senior Care Pharmacy Wichita 1402 S.RIDGE ROAD WICHITA, KS, 67209 Phone: 316-945-7455 Fax: 316-945-7457 Contact:- Carol Parsons Dear patient/responsible party, Effective immediately, each patient/responsible
New Jersey Administrative Code _Title 10. Human Services _Chapter 126. Manual of Requirements for Family Child Care Registration
N.J.A.C. T. 10, Ch. 126, Refs & Annos N.J.A.C. 10:126 1.1 10:126 1.1 Legal authority (a) This chapter is promulgated pursuant to the Family Day Care Provider Registration Act of 1987, N.J.S.A. 30:5B 16
DISA INSTRUCTION March 2006 Last Certified: 11 April 2008 ORGANIZATION. Inspector General of the Defense Information Systems Agency
DEFENSE INFORMATION SYSTEMS AGENCY P. O. Box 4502 ARLINGTON, VIRGINIA 22204-4502 DISA INSTRUCTION 100-45-1 17 March 2006 Last Certified: 11 April 2008 ORGANIZATION Inspector General of the Defense Information
USE AND DISCLOSURE OF PROTECTED HEALTH INFORMATION WITHOUT AUTHORIZATION
USE AND DISCLOSURE OF PROTECTED HEALTH INFORMATION WITHOUT AUTHORIZATION Policy The Health Science Center may disclose protected health information without a patient authorization in the following circumstances:
Catholic Charities Disabilities Services. In-Home Behavioral Support Services (2017)
Catholic Charities Disabilities Services In-Home Behavioral Support Services (2017) A Program funded through a Family Support Services Grant from OPWDD Submit Application and supporting documentation to:
A Better You Counseling Services, LLC 1225 Johnson Ferry Road, Ste 170 Marietta GA
A Better You Counseling Services, LLC 1225 Johnson Ferry Road, Ste 170 Marietta GA 30068 404-216-1135 Health Insurance Portability and Accountability Act (HIPAA) NOTICE OF PRIVACY PRACTICES I. COMMITMENT
Types of Authorized Recipients Probation/Parole Officers or the Department of Corrections
Types of Authorized Recipients Probation/Parole Officers or the Department of Corrections Research current through May 2016. This project was supported by Grant No. G1599ONDCP03A, awarded by the Office
RULES OF PROFESSIONAL CONDUCT FOR LAW STUDENTS CERTIFICATION FORM
RULES OF PROFESSIONAL CONDUCT FOR LAW STUDENTS I, (Print Name), certify that I have read the Rules of Professional Conduct for Law Students (the Honor Code). I understand that the Rules apply to conduct
HIPAA Policies and Procedures Manual
UNIVERSITY of NORTH CAROLINA at CHAPEL HILL SCHOOL of NURSING HIPAA Policies and Procedures Manual November 2015 1 Table of Contents I. INTRODUCTION... 3 A. GENERAL POLICY... 3 B. SCOPE... 3 II. DEFINITIONS...
KANSAS CHILD CARE LICENSING AND REGISTRATION LAWS Chapter 65. PUBLIC HEALTH Article 5. MATERNITY CENTERS AND CHILD CARE FACILITIES
KANSAS CHILD CARE LICENSING AND REGISTRATION LAWS Chapter 65. PUBLIC HEALTH Article 5. MATERNITY CENTERS AND CHILD CARE FACILITIES 65-501. License or temporary permit required; exemptions. It shall be
FERPA 101. December 4, Michael Hawes Director of Student Privacy Policy U.S. Department of Education
FERPA 101 December 4, 017 Michael Hawes Director of Student Privacy Policy U.S. Department of Education United States Department of Education Privacy Technical Assistance Center The U.S. Department of
PATIENT BILL OF RIGHTS & NOTICE OF PRIVACY PRACTICES
Helping People Perform Their Best PRIVACY, RIGHTS AND RESPONSIBILITIES NOTICE PATIENT BILL OF RIGHTS & NOTICE OF PRIVACY PRACTICES Request Additional Information or to Report a Problem If you have questions
Notice of Privacy Practices
Notice of Privacy Practices Fuquay Eye Care 505 N. Judd Pkwy., N.E., Suite 109, Fuquay Varina, NC 27526 919-557-0308 www.fuquayeye.com Dr. Patrick O Dowd, Privacy Official 2-22-2017 We respect our legal
RECEIPT OF NOTICE OF PRIVACY PRACTICES WRITTEN ACKNOWLEDGEMENT FORM. I,, have received a copy of Dr. Andy Hand s Notice of Privacy Practice.
Central Texas Institute Of Plastic Surgery, PA Dr. Andy Hand, M.D. Plastic and Reconstructive Surgery Cosmetic Plastic Surgery RECEIPT OF NOTICE OF PRIVACY PRACTICES WRITTEN ACKNOWLEDGEMENT FORM I,, have