You have the right to receive considerate and respectful care at the

University of Pennsylvania Student Health Service.

You have the right to an explanation of your diagnosis, treatment, and prognosis in terms you can understand.

You have the right to receive the necessary information in order to participate in decisions concerning your health care and  to  give your informed consent before           any diagnostic or therapeutic procedure is performed.

You have the right to complete explanation of any research or experimental procedure proposed for treatment, and the  opportunity to give your informed consent          before any procedure is begun.

You have the right to obtain a second medical opinion prior to any procedure.

You have the right to refuse medical treatment, except as prohibited by law, and to be completely informed of the consequences of making this decision. 

You have the right to involve family members in your care decisions.  When you cannot make care decisions, a surrogate  decision maker is designated. family member  may be designated as a surrogate.

You have the right to expect that if you are unable to receive information about your medical treatment (i.e. comatose) or if your health care practitioners  are concerned that such information would be inadvisable to be given to you, such information will be made available to an individual designated by you or to a legally authorized individual.

You have the right to respect for your personal privacy will be respected by all staff at the University of Pennsylvania Student Health Service.

You have the right to have your medical records kept confidential and be released only with your written consent, to any  persons not legitimately involved with your care, or for public health disclosures, in cases of medical emergencies, or in response to court-ordered subpoenas. Also, you have the right to restrict disclosures of you personal health information, and to request an accounting of disclosures on or after April 14, 2003.

You have the right to review any medical records created and maintained by the University of Pennsylvania Student Health Service regarding your care and treatment, and to request amendments to these records.

You have the right to know the names and positions of those individuals involved in your care, by official name tags or personal introductions.

You have the right to file a grievance with the administration of Student Health if you feel any of these rights have been violated.

You are responsible for providing accurate information concerning your medical history.

You are responsible for asking questions if you do not understand the explanation of your diagnosis, treatment, prognosis, or any instructions given to you.

You are responsible for providing information necessary for processing insurance claims.

You are responsible for any charges billed to you.

You are responsible for following all rules and regulations that are posted within the Student Health Service.