Student Optional Disclosure of Private Mental Health Information
Pursuant to Illinois’ Student Optional Disclosure of Private Mental Health Information
Act, a student has the right to authorize the College, in writing, to disclose his
or her private mental health information to a person of the student’s choosing. For
additional information including the Student Optional Disclosure of Private Mental
Health Information Form, please contact the Office of the Registrar or Counseling Services or visit the following web pages:
Please be advised that, consistent with the Family Educational Rights and Privacy
Act, 20 U.S.C. § 1232g and its regulations at 34 CFR § 99.36, the College may disclose
a student’s private information to persons who need to know that information in the
event of or to avert a health or safety emergency, even if those persons have not
been designated by the student on his or her Student Optional Disclosure of Private Mental Health Information Form .PDF
Administrative Procedures for Compliance with the Illinois Student Optional Disclosure
of Private Mental Health Information Act
In accordance with Harper College Board Policy 05.43.00 and the Illinois Student Optional
Disclosure of Private Mental Health Act (the “Act”, P.A. 99-278), a student’s mental
health information is considered private in nature and will not be released to a third
party without that student’s prior written consent, unless otherwise provided by other
state or federal laws.
A student who desires to authorize disclosure of certain private mental health information
about himself or herself to a designated person for purposes set out in the Act must
complete a Student Optional Disclosure of Private Mental Health Information Form .PDF, which shall be made available on a link included on the College’s FERPA webpage and
the Psychological Services webpage. This Form must be submitted to the Registrar at the Office of the Registrar or the One Stop. The form will remain valid until the student revokes his or her authorization by
notifying the College in writing that he or she is withdrawing this authorization.
In the event that a qualified examiner, who is employed by the College in that capacity,
determines that a student poses a clear danger to the student or others, the qualified
examiner will immediately contact the Registrar or his or her designee to determine
if that student has completed and provided the College with a Student Optional Disclosure
of Private Mental Health Information Form designating a person to whom the College
is authorized to disclose this information.
If the student has filed a Student Optional Disclosure of Private Mental Health Information
Form, the qualified examiner shall, as soon as practicable but no more than 24 hours
after making the determination described above, attempt to contact and notify the
designated person that the qualified examiner has made a determination that the student
poses a clear, imminent danger to themselves, or others. The College shall document
any and all attempts of the qualified examiner to reach the designated person.
The Dean of Student Development shall periodically review whether the College employs a “qualified examiner” who is
in a position to make the determinations provided for in the Act.
Finally, consistent with the Family Educational Rights and Privacy Act, 20 U.S.C. § 1232g and its regulations at 34 CFR § 99.36 (“FERPA”),
the College may, in situations where a health or safety emergency exists, disclose
confidential personally identifiable information about a student without his or her
consent, to any individuals the College reasonably determines to be in need of that
information for public health and safety reasons, subject to the conditions and limitations
set out in FERPA.