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HIPAA & Consent for Treatment

​​​​​​​​​​​​​​Health Insurance Portability and ​Accountability Act​

​​​Santiago Canyon College Student Health & Wellness Services and the Staff is legally required to protect the privacy of your Personal Health Information (PHI). This includes information that can be used to identify you which SHWS has created or received about your past, present, or future health or condition, the provision of health care to you, or the payment for such health care. ​

For complete information on SHWS and HIPPA policy please review our SCC SH​​WS HIPPA POLICY. ​

​Consent for Treatment - Gen​​eral

​​Upon your medical visit at SHWS, you will fill out a general consent for treatment.

Consent for Treatment - Minors

For minors seeking medical treatment, a guardian or parent must fill out the Consent for Treatment of Minor-Medical form. 

Forms​

During your medical appointment you will fill out the following forms for your visit:

  • ​Consent for Treatment
  • AUDIT - Alcohol Use Disorders Identification Test
  • Health History