Privacy
All interactions with the Campus Health Service are considered confidential in nature and every Campus Health Service staff member must sign a confidentiality (affirmation) statement prior to being employed with the Service.

Patient's Rights
The patient has the right to...

• be treated with respect and dignity and to be provided with courteous, considerate care;
• be informed about the diagnosis, evaluation, treatment and prognosis of the health problem in terms that can be understood;
• know the chances that treatment will be effective and to know the possible risks, side effects and alternative methods of treatment;
• receive confidential treatment of their disclosures and medical records and, except when required by law, to be afforded the opportunity to approve or refuse their release;
• know who is responsible for providing treatment;
• have access to a second medical opinion before making any decision. The patient can decide not to be treated, but must be informed of the medical consequences of refusal;
• participate in decisions involving their health problems;
• be informed of the personal responsibilities involved in seeking medical treatment and maintaining health and well-being thereafter;
• privacy;
• have access to resource persons and information concerning health education, self-care and prevention of illness;
• have access to advance directives;
• have access to provider credentialing information;
• be informed of the Campus Health Service policies and procedures regarding the expression of suggestions and grievances;
• refuse to participate in research without compromising their care.
• an accurate representation of accreditation as reflected by the AAAHC-accredited entity.
• know the services that are available at the Campus Health Service as well as any provisions for after-hours and emergency care
• have information about the fees-for-services and associated payment policies for the Campus Health Service
• marketing and advertising information regarding the competence and capabilities of the Campus Health Service that is not misleading
• be assured that malpractice insurance coverage is in force for medical and mental health care that is provided within the scope of the licensure of those professionals working for the Campus Health Service
  
  

Patient Responsibilities
The patient has a responsibility to...

• inform the provider of any changes in health status that could affect treatment; including complete and accurate information;
• adhere to a prescribed treatment plan, to discuss any desired change, and participate in his/her care ;
• act in a considerate and cooperative manner with Campus Health Service staff, as well as other patients;
• ask questions and seek clarification regarding areas of concern;
• weigh the consequences of refusing to comply with instructions and recommendations;
• assist the providers in compiling a complete record by authorizing the Campus Health Service to obtain necessary medical information from appropriate sources;
• keep appointments on time;
• cancel appointments only when absolutely necessary, and far enough in advance so that other patients might utilize that time.
• accept personal financial responsibility for any charges not covered by his/her insurance
• inform his/her provider about any living will, medical power of attorney, or other advance directive that could affect his/her care
• provide a responsible adult to transport him/her home from the facility and remain with him/her for twenty-four (24) hours, if required by his/her provider
  
  

Patient Information & Forms

Consent to Treat Minor Form (pdf)