Crisis Information

Emergencies: 911

CAPS (Mon-Fri, 8am-5pm):
(814) 863-0395

Penn State Crisis Line (24/7):
(877) 229-6400

Crisis Text Line (24/7):
txt "LIONS" to 741741


CAPS Locations

- Student Health Center (SHC)
- Bank of America (BoA)
- Allenway Building (Downtown)
View locations on the map.


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collage of students involved in individual and group counselling sessions

Counseling & Psychological Services (CAPS)

Notice of Privacy Practices

THIS NOTICE DESCRIBES HOW PSYCHOLOGICAL AND MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

I. Uses and Disclosures for Treatment, Payment, and Health Care Operations

We may use or disclose your protected health information (PHI), for treatment, payment, and health care operations purposes with your consent. To help clarify these terms, here are some definitions:

II. Uses and Disclosures Requiring Authorization

We may use or disclose PHI for purposes outside of treatment, payment, and health care operations when your appropriate authorization is obtained. An “authorization” is written permission above and beyond the general consent that permits only specific disclosures. In those instances when we are asked for information for purposes outside of treatment, payment and health care operations, we will obtain an authorization from you before releasing this information. We will also need to obtain an authorization before releasing your psychotherapy notes. “Psychotherapy notes” are notes we may make about our conversation with a client during a private, group, joint, or family counseling session, which we keep separate from the rest of your medical record. These notes are given a greater degree of protection than PHI.

You may revoke all such authorizations (of PHI or psychotherapy notes) at any time, provided each revocation is in writing. You may not revoke an authorization to the extent that (1) We have relied on that authorization; or (2) if the authorization was obtained as a condition of obtaining insurance coverage, and the law provides the insurer the right to contest the claim under the policy.

III. Uses and Disclosures with Neither Consent nor Authorization

We may use or disclose PHI without your consent or authorization in the following circumstances:

There may be additional disclosures of PHI that we are required or permitted by law to make without your consent or authorization, however the disclosures listed above are the most common.

IV. Client’s Rights and Mental Health Provider’s Duties

Client’s Rights:

Mental Health Providers’ Duties:

V. Questions and Complaints

If you have questions about this notice, disagree with a decision we make about access to your records, or have other concerns about your privacy rights, you may contact the Associate Director of Clinical Services of CAPS, ccaps@psu.edu, 814-863-0395.

If you believe that your privacy rights have been violated and wish to file a complaint with our office, you may send your written complaint the Associate Director of Clinical Services at CAPS, ccaps@psu.edu, 814-863-0395.

You may also send a written complaint to the Secretary of the U.S. Department of Health and Human Services. The person listed above can provide you with the appropriate address upon request.

You have specific rights under the Privacy Rule. We will not retaliate against you for exercising your right to file a complaint.

VI. Effective Date, Restrictions and Changes to Privacy Policy

This notice will go into effect on October 15, 2012.

We reserve the right to change the terms of this notice and to make the new notice provisions effective for all PHI that we maintain. We will provide you with a revised notice by having this electronic version up-to-date and a paper copy available to you the next time you come to the office.

501 Student Health Center | 814.863.0395 | Contact Counseling & Psychological Services