PROTECTED HEALTH INFORMATION

The School of Optometry has been identified to contain health information records* containing one or more of the following items that can be identified to a specific individual, their relatives, their employer, and/or members of their household:

1 Name
2 Address
3 Dates directly attributable to an individual such as: dates of birth, encounter, admission, discharge, death
4 Telephone number
5 Fax number
6 Electronic mail address (e-mail)
7 Social security number
8 Medical record number
9 Health plan beneficiary number
10 Account number
11 Certificate/license number
12 Vehicle identifiers and serial numbers, including license plate numbers
13 Device identifiers and serial numbers
14 Web universal resource locators (internet URLs)
15 Internet protocol (IP) address numbers
16 Biometric identifiers, including finger and voice prints
17 Medical diagnosis
18 Full face photographic images and any comparable images
19 Any other unique identifying number, characteristic, or code

*Health information records are those created or received related to the past, present, or future physical or mental health or condition of an individual; the provision of health care to an individual; or the past, present, or future payment for the provision of health care to an individual.