Rights and Responsibilities
- You have the right to receive considerate and respectful care at the SHS.
- You have the right to be treated in accordance with all measures of the University of Pennsylvania Nondiscrimination Statement.
- 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 a 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 family member or other surrogate decision maker will be designated.
- 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 be treated with respect for your personal privacy by all staff at the SHS.
- You have the right to have your medical records kept confidential and to be released only with your written consent, or for public health disclosures, in cases of medical emergencies, or in response to court-ordered subpoenas. In addition, you have the right to restrict disclosures of your 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 SHS 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 nametags or personal introductions.
- You have the right to file a grievance with the administration of Student Health Service if you feel any of these rights have been violated.
- You have the right to have pain appropriately assessed and managed.
- 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 for services provided.
- You are responsible for following all rules and regulations that are posted within SHS.
If you have any comments or concerns about your care or about patient safety, please notify Student Health Service administration by phone at 215-746-3535 or by e-mail at email@example.com. The Office of the Vice Provost for University Life is available by phone at 215-898-6081 if the Student Health Service cannot resolve your concerns. You may also contact The Joint Commission online at www.jointcommission.org or via e-mail at firstname.lastname@example.org.
University of Pennsylvania Nondiscrimination Statement
The University of Pennsylvania values diversity and seeks talented students, faculty and staff from diverse backgrounds. The University of Pennsylvania does not discriminate on the basis of race, sex, sexual orientation, gender identity, religion, color, national or ethnic origin, age, disability, or status as a Vietnam Era Veteran or disabled veteran in the administration of educational policies, programs or activities; admissions policies; scholarship and loan awards; athletic, or other University administered programs or employment.
Questions or complaints regarding Penn's nondiscrimination policy should be directed to Executive Director, Office of Affirmative Action and Equal Opportunity Programs, Sansom Place East, 3600 Chestnut Street, Suite 228, Philadelphia, PA 19104-6106; or by phone, at (215) 898-6993 (Voice) or (215) 898-7803 (TDD).