Health Services - Confidentiality Statement

This notice describes how medical information about you may be used and disclosed. This notice applies to information and records regarding your health care maintained at Southern New Hampshire University's Wellness Center - Health Services, including medical records and insurance information.

Medical Information

SNHU Health Services is committed to protecting your medical information. We maintain a record of the care and services you receive in Health Services for use in your ongoing care and treatment. This Notice tells you about the ways in which we may use and disclose your medical information. It also describes your rights and certain obligations we have regarding the use and disclosure of your medical information.

We are required by law to:

  • Protect your medical information.
  • Give you this notice describing our legal duties and privacy practices with respect to medical information about you.

How We May Use and Disclose Your Medical Information

For Treatment

We may use your medical information in providing you with medical treatment or services. We may disclose your medical information to doctors, nurses, counselors or other health system personnel who are involved in your treatment in our office, at a hospital, physician's office or clinic setting.

Legal Actions

We may disclose information about you in response to a subpoena, warrant or other lawful process.

Public Health Risks and Disclosure Laws 

We may disclose medical information about you for public health purposes which may include the following:

  • Preventing or controlling disease.
  • Notifying a person who may have been exposed to a disease or may be at risk for contracting or spreading a disease or condition.
  • Notifying the appropriate authority if we believe a patient has been a victim of abuse and make this disclosure as required by law.
  • Notifying authorities if we have knowledge that a child or incapacitated adult has been the victim of abuse or neglect
  • Notify school authorities if we have knowledge that a patient has been a victim of hazing or sexual harassment by a University employee.

For Payment

We may disclose medical information about you so that treatment and services you receive at SNHU or referral agencies be paid by the university's student insurance carriers (CISI or Richard Horan Agency).

Your Rights Regarding Medical Information About you

Your medical record is the property of SNHU Health Services. You have the following rights regarding medical information we maintain for you.

Right to Copy and Review

You have the right to review and receive a copy of your medical records. A request in writing is required for obtaining a copy of your medical records.

DATE_________________ CLIENT__________________________________________

Contact Us

Location: Student Center
Phone: 603.645.9679 or 603.645.9616
Fax: 603.645.9711