Softball Field

Athletic Training - Privacy Notice Daytona State College Sports Medicine Department

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 and sign the Health Information Consent Form

Our Legal Duty:

Our policy has always been to keep your records safe. Your records are usually kept in a folder of papers with your name on it. Your records can also be stored in a computer. Your records tell what treatments and tests you have had, and what decisions the doctors and/or athletic trainers have made.

We are required by federal and state law to maintain the privacy of our health information. We are also required to give you this Notice about our privacy practices, our legal duties, and your rights concerning your health information. We must follow the privacy practices that are described in this Notice while it is in effect. This Notice takes effect August 17, 2003, and will remain in effect until we replace it.

We reserve the right to change our privacy practices and the terms of this Notice at any time, provided such changes are permitted by applicable law. We reserve the right to make the changes in our privacy practices and the new terms of our Notice effective for all health information that we maintain, including health information we created or received before we made the changes. Before we make a significant change in our privacy practices, we will change this Notice and make the new Notice available upon request.You may request a copy of our Notice at any time. For more information about our privacy practices, or for additional copies of this Notice, please contact us using the information listed at the end of this Notice. 

Uses and Disclosures of Health Information:
We use and disclose health information about you for treatment, payment, and healthcare operations. For example:

Patient Rights:

Questions and Complaints:
If you want more information about our privacy practices or have questions or concerns, please contact us. If you are concerned that we may have violated your privacy rights, or you disagree with a decision we made about access to your health information or in response to a request you made to amend or restrict the use or disclosure of your health information or to have us communicated with you by alternative means or at alternative locations, you may complain to us using the contact information listed at the end of this Notice. You may also submit a written complaint to the U.S. Department of Health and Human Services. We will provide you with the address to file your complaint with the U.S. Department of Health and Human Services upon request.

We support your right to the privacy of your health information. We will not retaliate in any way if you choose to file a complaint with us or with the U.S. Department of Health and Human Services. After reviewing Daytona State College's Privacy Policy, please download, complete, and sign the Health Information Disclosure Consent Form.

Contact Person:
Kim Csabi
Telephone: 386-506-3989
Fax: 386-506-4485
Email: csabik@DaytonaState.edu

Daytona State College
Athletics Department - Athletic Training Services
1200 W. International Speedway Blvd.
Daytona Beach, FL 32114

Last Updated: 9/11/13