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20

DoDEA School Health Services Manual 2942.0 Volume 1 Revised: 2016 DRAFT

DoDEA’s PA restriction on disclosure applies to

any

type of disclosure, including

written, spoken or electronic transfer of student health information. Additionally,

because health records are highly personal and contain information not often known to

the public, they are particularly sensitive. Thus, hard copy health records (such as

special education records) are protected by storing them apart from other student

academic records that also qualify as PA records. Thus, access to health records for the

purpose of any further disclosure is generally limited to the school nurse and the

principal, as directed by the principal to enable a staff member to perform an official

duty or as prescribed by written agency rules. Disclosures outside of the school should

be made only upon consultation with the principal, and in conjunction with the DoDEA

Privacy Officer or the DoDEA Office of the General Counsel when needed.

C-3-5

Guidelines for Disclosure of Student Health Information

School nurses and principals with access to student health records are

required by law to protect the privacy of student health records and to disclose them

within DoDEA (or DoD) only with the consent of the sponsor/parent/guardian or without

consent in a limited number of circumstances described as routine uses in the published

SORN. Nurses are advised to consult with school principal prior to any such disclosure.

Disclosure without consent is permissible within DoD when:

1) a particular record or data is requested by a DoD official with an official need

to know;

2) the information sought to be collected is for a purpose that is consistent with

the reason that DoDEA collected the information for its own records; or

3) when the information is required by a DoD official with a compelling need to

protect the life, health or safety of the individual whom the record pertains (or another

person), such as when the student is suspected of self-injury or suicide, to protect

another person from imminent harm, or when it is required by law (such as in

connection with a case of suspected child abuse).

A.

All DoDEA employees are expected to know the principles of privacy

protection under the PA and to protect against the disclosure of PA-protected

information or PII without prior consent.

B.

The principal or designee(s) supervises the administration of the Privacy

Program in each building.

C.

If written informed consent has not been secured, nurses should consider

that health information generally will not be shared except as instructed by

the principal.

D.

Generally, when a requestor within the school or within the DoD can assert

an official duty for which he or she requires the student health information,

DoDEA may disclose that information to that person if it determines that the