UW-Green Bay Counseling and Health Center
MAC hall About Us
Patient Bill of Rights

  Student's Rights and Responsibilities
Following are the student's rights and responsibilities regarding services at the University of Wisconsin-Green Bay Counseling and Health Center.

Consent for Treatment Form - for students under 18 (Word)
Parents should complete and sign the form and return it with the Student Health History form.

Student Rights

RESPECT: You have the right to...
  • Be treated with dignity and respect.
  • Personal privacy and to receive your care in a safe setting.
  • Not be discriminated against because of race, creed, sex, national origin, sexual orientation or disabilities.
INFORMATION: You have the right to...
  • Know the identity of the persons providing your care.
  • Receive accurate information about diagnosis, treatment, and prognosis.
  • Review your medical and/or counseling records with a staff member.
  • Receive copies of your medical and/or counseling records.
  • An explanation of any charges related to the services you receive.
CONFIDENTIALITY: You have the right to...
  • Expect that your medical and/or counseling records will be maintained in a confidential manner.
PARTICIPATION: You have the right to...
  • Participate in decisions about your care, including the right to refuse a recommended treatment.
  • Include family members and your significant others in decisions about your care.
Student Responsibilities

Please help us care for you by taking the responsibility to:
  • Seek medical care promptly.
  • Be honest about your medical history.
  • Ask about anything you do not understand.
  • Respect clinic personnel and policies.
  • Follow health advice and medical instructions.
  • Report any significant changes in symptoms or failure to improve.
  • Keep appointments or cancel in advance.
  • Provide useful feedback about services and policies.
  • Pay for charges incurred.

UW-Green Bay, Connecting learning to life Counseling and Health Center | University of Wisconsin-Green Bay
HOURS: 8:00 AM - 4:30 PM, Monday through Friday | After Hours Care
Student Services - 1400, 2420 Nicolet Drive, Green Bay, WI 54311   Phone: (920) 465-2380
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