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University of Wisconsin-Green Bay

Counseling & Health Center

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
Parents should complete and sign the form and mail to the address on the 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...

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.