Privacy Policy

The Health Insurance Portability and Accountability Act (HIPAA) gives patients the new right to be informed about the privacy practices of their health care providers, as well as rights with respect to their own protected health information. As health care providers we are required to distribute a notice of our privacy practices to our patients. The Clark University Health Service is a contracted service through UMass Memorial Health Care.

Joint Notice of Information Practices

Effective: April 14, 2003

This notice describes how medical information about you may be used and disclosed, and how you can get access to this information. Please review this carefully.

UMass Memorial Health Care is an organized health care arrangement (OHCA). This joint notice applies to member organizations and physicians as listed in this brochure.

Patient Privacy

At UMass Memorial, your privacy is a priority.We follow strict federal and state guidelines to maintain the confidentiality of your medical (protected health) information.

Protected Health Information

Protected health information(PHI) is any information about your past, present, or future health care, or payment for that care that could be used to identify you.

Members of our workforce and our business associates may only access the minimum amount of protected health information that they need to complete their assigned tasks.

Use and Disclosure of PHI

When you visit a UMass Memorial facility, we use and disclose your protected health information to treat you, to obtain payment for services and to conduct normal business known as health care operations. We may also share information with a contracted business associate who must meet our privacy requirements. Examples of how we use and disclose your information include:

We may also use the information to:

There are limited times when we are permitted or required to disclose medical information without your signed permission. These situations include the following:

Other uses and disclosures not previously described may only be done with your signed authorization. You may revoke your authorization, in writing, at any time.

Our Responsibilities

UMass Memorial is required by law to maintain the privacy of your medical information, provide this notice of our duties and privacy practices, and abide by the terms of the notice currently in effect. We reserve the right to change privacy practices and make new practices effective for all the information we maintain. Revised notices will be posted in our facilities and will be available from your health care provider.

Your Rights

You have the right to:

*Request must be in writing

To Contact Us

If you have questions about this notice, contact the privacy officer or visit

If you would like to exercise your rights or if you feel your privacy rights have been violated, contact the privacy officer:

UMass Memorial Medical Center
Hahnemann Campus Privacy Office
281 Lincoln Street
Worcester, MA 01605

All complaints will be investigated and you will not suffer retaliation for filing a complaint. You may also file a complaint with the secretary of health and human services in Washington, DC.

Members of Our Organized Health Care Arrangement (OHCA)

All UMass Memorial facilities and services including:

Each OHCA member is individually responsible for abiding by the privacy practices, and for resolving its own privacy complaints or violations.