Confidentiality
The Health & Wellness Services staff provides confidential services practicing within professional ethics and laws that protect your privacy.HIPAA Information and Release Form
Notice of Privacy Practices
Health & Wellness Services records are kept separate from all other academic files to ensure that individual privacy and confidentiality are maintained. No information is released without the knowledge and written consent of the individual except for rare instances. This notice describes how protected health information may be used and disclosed by St. Norbert College Health Services, and how you can access this information. Please review the notice of privacy practices carefully.
Understanding Your Protected Health Information
When you visit Health & Wellness Services, a record consisting of your protected health information (PHI) is created. Your record is the property of St. Norbert College. The information in it belongs to you. Being aware of what is in your record will help you to make more informed decisions when authorizing disclosure to others. In using and disclosing your PHI, it is our objective to follow the Wisconsin state law and the privacy act of the Federal Health Insurance Portability and Accountability Act (HIPAA). Your health record serves as:
- A basis for planning your care and treatment.
- A means of communication among the health care professionals who may contribute to your care.
- A legal document describing the care you received.
- A tool with which we can assess and continually work to improve the care given and the outcomes we achieve.
- Maintain the privacy of your PHI as required by law and provide you with the opportunity to review our HIPAA policies.
Use of PHI Without Your Consent
Health & Wellness Services will use your PHI, without your consent or authorization, in the following circumstances:
Child abuse
If the medical or counseling staff have reasonable cause to suspect that a child has been, or is in danger of abuse, neglect or threatened with abuse or neglect, a report must be made to a relevant county department, child welfare agency, police or sheriff's department.
Adult and domestic abuse
If the medical or counseling staff have reasonable cause to suspect that an elder person is the victim of abuse, neglect, domestic violence or other crimes, a report may be filed with the relevant county department or state official.
Serious threat to health or safety
If the medical or counseling staff have reasonable cause to suspect (exercising best judgment and professional care and skill) that you may cause harm to yourself or another person, steps may be taken to notify or assist in notifying a family member, personal representative, college official(s), police and/or anyone else who may help maintain your or another’s physical safety. A plan may be developed which requires an assessment for commitment proceedings.
Judicial or administrative proceedings
If you are involved in a court proceeding and a request is made for information about your diagnosis, treatment and/or mental health records, such information is privileged under state law and will not be released without written authorization from you or your personal or legally-appointed representative. The privilege does not apply when a third party is evaluating you or where the evaluation is court-ordered. A court order may also require – without your consent – the release of medical and counseling records.
As required by law for national security and law enforcement
We may disclose your health information under certain circumstances to military authorities. Health & Wellness Services may disclose to authorized federal officials, health information required for lawful intelligence, counterintelligence and other national security activities. Health & Wellness Services may also disclose health information for law enforcement purposes as required by law or in response to a valid subpoena.
Law/health oversight
As required by law, we may disclose your health information for investigative purposes.
As required by law for purposes of public health
Health & Wellness Services may disclose your health information to public health or legal authorities charged with preventing or controlling disease, injury, or disability.
Consultation/office management
Health care providers may consult with other practitioners to help manage and coordinate your treatment. Administrative staff (e.g. office manager/receptionist) may also have limited access to your PHI.
For more information about HIPAA or to speak about a concern, please contact:
Erin Bongers, Director of Health & Wellness Services (Deputy Privacy Officer) at 920-403-3266, email at erin.bongers@snc.edu or Marc D. Belanger, Vice President of Information Technology and Chief Information Officer (Primary Privacy Officer) at 920-403-3866, email at marc.d.belanger@snc.edu.
Contact Us
Location
Mulva Family Fitness & Sports Center
601 Third St., 2nd Floor
Map/Directions
Enter the Third St. entrance, turn right for elevator and stair access.
Phone: 920-403-3266
Fax: 920-403-3099
Email: health@snc.edu
Monday - Friday:
8:00am-11:30am
and 12:30pm-4:30pm
*For medical emergency call 911 for assistance.
*If you need immediate assistance after hours contact Campus Safety at 920-403-3299.
*For after-hours nursing assistance call Bellin Health On-Call at 920-445-7373
*For after-hours mental health crisis situations call the crisis line at 988.
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Language Interpretation Services
SNC Health & Wellness Services offers language interpretation services provided by LanguageLine Solutions®.For those who are limited English speakers or who are deaf and hard of hearing, we provide professional interpretation at no charge. By bridging these language gaps we hope to understand everyone we serve no matter what language they speak.