The Buckley Form and a Student’s Health Information

confidential
FERPA (Family Educational Rights & Privacy Act of 1974) guarantees certain rights to students.  A couple of these rights are:  the right to inspect and review their educational records, the right to seek to amend their educational records, and the right to limit the disclosure of their educational records.

East Carolina University can only provide confidential information about a student to a third party when the student completes the Buckley Form (accessed from his/her OneStop), and as long as the parent/guardian presents tax information demonstrating the student is claimed as a dependent. The Buckley Form only authorizes ECU to share information related to the student’s academic, judicial, and/or financial records (to a third party).  The Buckley Form does not permit ECU, or specifically Student Health Service, to release any medical or health information about a student/patient.

Similar to FERPA, HIPAA is the Health Insurance Portability and Accountability Act which protects patient rights regarding personal health information.  Student Health Service’s medical records are completely confidential. In most situations, unless a student provides permission, we cannot disclose any health information to anyone, including parents, friends, or professors. There is a specific medical authorization form that must be completed by the patient in order for Student Health Service to provide health information to a third party.

Students can access the Buckley Form via Logging on to ONESTOP using your Pirate ID and Passphrase.

For more information, please visit, http://www.ecu.edu/cs-acad/registrar/FERPA.cfm.  If you have any questions specific to the Buckley Form, feel free to contact the ECU Office of the Registrar at 252-328-6747.

For more specific information about HIPAA and Student Health Service, please refer to http://www.ecu.edu/cs-studentaffairs/studenthealth/questions.cfm.

To complete an authorization form to use and disclose health information, please refer to http://www.ecu.edu/cs-studentaffairs/studenthealth/about_us/forms.cfm.

Also, feel free to contact ECU Student Health Service at 252-328-6841 with any questions.

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