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Student Health Services at Moffitt Health Center

Policies

Confidentiality/HIPAA

On behalf of the employees at the Student Health Services, we would like to inform you of things that you might not be aware of as a new or existing patient.

HIPAA (Health Insurance Portability and Accountability Act) – is a federal law that requires the Southern Miss Student Health Services to protect your health information and to keep everything confidential.

You will be given a copy of our notice of privacy practices and required to sign this form upon your first visit.

You as a patient have rights and responsibilities. A copy of these rights and responsibilities can be found in each patient room.

Patient Rights and Responsibilities 

As one of our patients, you have certain rights and responsibilities.

  • To quality health care
  • To be treated with dignity, consideration, and respect in a manner that does not discriminate against age, ancestry, color, disability or handicap, national origin, race, religious creed, sex, sexual orientation or veterans status
  • To know the names and professional/malpractice status of people serving you
  • To privacy to the best of our ability
  • To confidentiality of your records
  • To receive accurate information to the extent known about your health-related concerns
  • To know the effectiveness, possible side effects, and problems of all forms of treatment
  • To participate in choosing a form of treatment and decisions regarding your treatment
  • To receive education and counseling
  • To select and/or change your health care provider and request a second opinion or referral to a provider/place of your choice
  • To choose the pharmacy provider where your prescriptions are filled
  • To receive education about your medications
  • To choose who your medical information is shared with
  • To review your medical records with a clinician
  • To receive information about services and any related costs
  • To develop an advanced directive
  • To be respectful of all health care providers, staff and other patients
  • To inform your provider about any living will or advance directive
  • To accept financial responsibility for charges not covered by insurance
  • To seek medical attention promptly
  • To be honest about your medical history, prescriptions (including over the counter), and allergies
  • To follow health advice and medical instructions or accept responsibility for the outcome
  • To provide a responsible adult to transport you home from this facility and remain with you for 24 hours if required by your provider
  • To report any significant changes in symptoms or failure to improve
  • To respect clinic policies
  • To keep appointments or cancel in advance
  • To seek nonemergency care during regular office hours
  • To inform a staff member if you do not want any part of your visit filed on insurance
  • To provide suggestions or grievances about Moffitt Health Center

If you have suggestions, concerns, questions, or to report a grievance, please contact the HIPAA Privacy Officer, 601-266-5390.

Notice of Privacy Practices 

Notice of Privacy Practices (PDF)

ADHD Information

Please contact 601.266.5390 for any questions or concerns. Patient medical records can be faxed to 601.266.4205. 

  • Before prescribing controlled stimulant medications for ADHD, Moffitt Health Center requires documentation of a comprehensive evaluation/psychological testing by a licensed professional with experience in ADHD assessment. ADHD screenings and prior medical records of stimulant medication refills are not sufficient documentation of the diagnosis. Documentation should state the specific disability as diagnosed. The ADHD diagnosis should be made by someone with appropriate professional credentials and should reference the Diagnostic and Statistical Manual of Mental Disorders (DSM) criteria. Documentation should describe the comprehensive testing and techniques used to arrive at the ADHD diagnosis. Evaluators must be authorized and licensed by the state in which they practice to administer the necessary tests and to diagnose ADHD and these credentials must be listed on the ADHD assessment.
  • If you have already been tested for ADHD and have the necessary documentation as described above, it is not necessary to be tested again. You may bring a hard copy of your ADHD assessment done by a licensed professional or have those records faxed to our clinic. A medical record release form will allow you to request that information and have it sent from your previous provider directly to Moffitt Health Center.
  • Once all documentation and assessment information has been obtained and reviewed, your provider will discuss medication options with you to determine which medication would be most appropriate for the management of symptoms. An EKG may be requested before a stimulant medication is started. Providers will monitor controlled substance prescription activity on the Mississippi PMP website. Drug testing may be conducted to ensure you are taking your medication and are not taking other mood altering substances that will adversely affect ADHD.
  • Patients will be asked to review and sign a Controlled Substance Good Faith Agreement.
  • Class 2 controlled substances cannot be refilled. Moffitt Health Center providers will prescribe controlled ADHD medications for only one month at a time. You will be responsible for coming to the clinic to get a new prescription each month.
  • The prescription for class 2 controlled substances is printed on special paper that prevents tampering, faxing and copying. Alternatively, a written prescription may be issued.
  • Controlled substances are monitored by the Drug Enforcement Agency of the Department of Justice. Misuse, selling, distributing (sharing with a friend) is a felony. The first offense is punishable by no more than 20 years in prison and/or fined no more than 5 million dollars. If death or serious injury occurs as a result of unlawful use or distribution, the party may face at minimum 20 years to life in prison. Under the Controlled Substances Act, a person convicted of selling or attempting to sell amphetamines near a school, including a college, or other areas where young people may be present, faces twice the maximum prison sentence, twice the maximum fine, and twice the term of supervised release. (21 U.S.C. 860.)
  • DO NOT SHARE YOUR MEDICATION (see paragraph above).
  • We recommend that you also submit a copy of your official ADHD assessment to the USM Office of Disability in order to get extended testing time and/or other classroom accommodations.
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Contact Us

Student Health Services at Moffitt Health Center
Scott Hall
118 College Drive Box #5066
Hattiesburg, MS 39406

Campus Map

Email
clinicadminFREEMississippi

Phone
601.266.5390

Fax
601.266.4205