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Privacy Practices

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    Medical Records & Confidentiality
    The Health Center is bound by laws of confidentiality, and personal information will not be released to a third party without written permission from the patient. All medical information regarding your health is treated with the utmost care to safeguard your privacy. We follow all the guidelines of the Health Insurance Portability and Accountability Act of 1996 (HIPAA - Notice of Privacy Practices Distribution) and your personal information cannot be released to anyone without your permission if you are over the age of 18.

    If you want to have your records sent to us from another physician's office, please fill out the Authorization for Use and Disclosure of Health Information form and fax or mail it to your physician’s office. If you would like the Student Health Center to send your records to another physician's office, fill out this Authorization for Use and Disclosure of Health Information Form and return it to the Health Center or fax or mail it to the address/number listed on the top of the form.

    As a professional courtesy, there is NO COST to have your medical records sent directly to another physician. A fee of $10 to $20 (determined by size of file) will be charged if you are requesting a copy for own records.
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    Patient Bill of Rights

    1. All patients can expect to be treated with respect and consideration, and Health Center personnel expect the same treatment of each patient.
    2. Patients can expect confidentiality from each staff member.
    3. Patients will be limited to students and their dependents and those enrolled under DMBA Managed Care who has designated our doctor as their primary care physician (PCP), except in an emergency.
    4. Patients will be seen by appointment only, except in an emergency.
    5. Patients may expect to be seen within one hour of their scheduled appointment or you may reschedule your appointment.
    6. Emergencies will be seen immediately, urgent care appointments can expect to be scheduled that day, routine appointments within one week, and physicals within one month.
    7. Patients more than 15 minutes late may be asked to reschedule their appointments.
    8. Patients may be asked to see the nurse for the assessment of colds and flu before seeing the physician.
    9. Every attempt will be made to return phone calls promptly, at least within the same working day.
    10. Medical advice personnel will respond to after-hour calls by phone within a reasonable time frame, usually 15 minutes, unless the call is identified as an emergency.
    11. A co-payment will be charged for EACH patient seen by the physician or physician assistant.
    12. Payments of fees, medications, etc. are requested at the time of the visit.
    13. Students are expected to pay all amounts due by the end of each semester in order to register for the next semester.
    14. Patients who fail to comply with the Health Center and Student Health Plan parameters may be removed from the practice.
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    Medical Excuse Policy

    The BYU–Hawaii Health Center supports and follows the attached policy regarding excused student absences. This addresses all instances that may cause a student to miss scheduled academy obligations or work and reads as follows:


    Students must sometimes miss work, examinations or other academic obligations affecting their grades because of illness, personal crisis, mandated court appearances, and the like. As long as such absences are not excessive, it is hoped that your employer or instructor will provide and document reasonable accommodation.

    The employer or instructor may require the student to submit a written explanation of the absence, but written excuses from health care personnel should not be required, since these requests frequently put health care providers in untenable positions. It is recommended that the instructor explain the procedure for excused absences early in the semester, preferably in a written syllabus distributed to all students in each class. Once announced, these procedures should be scrupulously followed unless extraordinary circumstances require an exception.

    Students who attempt to gain advantage through abuse of this policy (e.g. by providing an instructor with false information) may be referred to the Standards Office for disciplinary action. If you feel you have unusual circumstances that would require additional documentation from our staff, please schedule an appointment with your treating health care provider to discuss your concerns.
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    Medical or Religious Exemptions
    Hawaii State Health laws provide immunization exemptions for bona fide religious or medical reasons only. Exemptions can only be applied to the MMR requirement and NOT tuberculosis clearance. In the event of a measles outbreak on campus, students with exemptions will be excluded from attending classes or other campus activities until the outbreak has cleared.

    A medical exemption may be granted to SPECIFIC VACCINES.
    1. A U.S. licensed physician (MD or DO) must state in writing that receiving a specific vaccine would endanger the individual's life or health, and specify the reason based on valid medical contraindications.
    2. The physician must state the length of time during which the vaccine would endanger the individuals' health or life.
    3. The exemption certificate must be signed by the physician on the physician's printed stationery.

    A religious exemption may be granted provided the criteria on the religious exemption form are met. the completed form should be sent to the Health Center.
    Fax: (808) 675-3506
    Email: healthcenter@byuh.edu
    Mail: 55-220 Kulanui St.
    #1728, Bldg. 5
    Laie, HI 96762