CSU Policy: CSU Health Network Privacy

Policy Title: CSU Health Network Privacy Category: Administration
Owner: Vice President for Student Affairs Policy ID#: 5-8031-001
CSU Health Network
Web: http://health.colostate.edu/
Phone: (970) 491-7121
Original Effective Date: 4/14/2003
Last Major Revision: 12/16/2014
Print Version: Click Here to Print


The Health Network Privacy Policy describes how personal medical information may be used and disclosed and how you can get access to this information.


Health Records

Medical and mental health records (protected health information – PHI) are not included in the general university record keeping system. Health records are maintained in compliance with federal and Colorado retention regulations. A confidential health record is created for you upon proof of immunizations, receipt of off-campus medical records and/or after your first visit to the Colorado State University Health Network.

A copy of the privacy practices for the CSU Health Network can be obtained here.

If you are under 18 years of age:

Prior Health History

  • If an incoming student has a chronic medical condition, we recommend their doctor’s office send a copy of pertinent medical records to the CSU Health Network.
  • Additionally, be sure to complete the Health History form online.

Releasing Your Health Information

  • Protected health information cannot be released without your written consent/authorization unless mandated by law. If a patient is 18 years of age or older, we cannot release any information without his/her consent, even to parents. This information includes diagnosis, appointment history, test results, and billing information. A Consent/Authorization to Access or Release Protected Health Information form is available if you would like to release your PHI. This form must be filled out in person at the CSU Health Network or contact us regarding faxing/mailing this form.
  • To have health information shared with parents, professors, etc., an Information Exchange form needs to be completed. This form must be filled out in person at the CSU Health Network or contact us regarding faxing/mailing this form.


Patient Rights & Responsibilities

Your patient rights and responsibilities at the CSU Health Network:

You have the RIGHT:

  • To be treated with respect, consideration, and dignity
  • To be provided with appropriate privacy
  • To communicate in their primary language whenever possible
  • To emergency care without waiting for authorizations or fearing financial penalty
  • To be informed and participate in treatment decisions, know the benefits, side effects, and possible complications of treatment
  • To be provided, to the degree known, information concerning their diagnosis, evaluation, treatment, and prognosis
  • To choose your providers and know the names and professional status of those working with you
  • To privacy and confidentiality of your health information and health records
  • To read and request changes to your records if information is not correct, relevant, or complete
  • To receive a privacy notice to inform you about how protected information will be disclosed
  • To request that uses and disclosure of protected health information be restricted
  • To consent to or refuse any care or treatment
  • To be informed about services and any related costs
  • To receive appropriate referrals to other providers and services
  • To file a complaint against a provider, the facility, or healthcare personnel without fear of reprisal
  • To be provided with help that will facilitate informed healthcare decisions in spite of language barriers, physical or mental disability, or with difficulty understanding the care plan


  • To seek healthcare promptly
  • To give accurate information about your health history
  • To ask questions or clarification about anything you do not understand
  • To report any significant changes in symptoms or failure to improve
  • To respect CSU Health Network policies
  • To treat all CSU Health Network staff with courtesy and respect
  • To keep appointments or cancel in a timely manner
  • To provide useful feedback about our services and policies
  • To know the names, purpose, and effects of medications prescribed to you
  • To pay promptly any bills you have incurred
  • To provide complete and accurate information of any medications, allergies or sensitivities
  • To follow the treatment plan prescribed by the provider and participate in the care
  • To provide responsible transportation and care for 24 hours when required by the provider


Download the Consent/Authorization to Access or Release Protected Health Information Form



Print Version: Click Here to Print

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