Patient Rights and Responsibilities

Campus Health recognizes that all people have unique health care needs and affirms to focus on individual needs through provision of services in a considerate, dignified, and respectful manner. We empower patients by increasing awareness of these rights and responsibilities by visibly posting them within each area of the facility. It is in recognition of these standards that Campus Health works to uphold the following rights and responsibilities:

Patient Rights:

  • The right to an inclusive and welcoming environment that preserves dignity and contributes to a positive self-image. 
  • The right to have consideration of psychosocial, spiritual, and cultural variables that influence perception of illness. Campus Health offers non-discriminate access to its programs and services without influence of age, gender, race, color, national origin, religion, disability, gender expression, gender identity, genetic information, sex, veteran’s status, sexual orientation, or other protected classes. 
  • The right to expect that Campus Health staff, within their professional capacity, the organizational mission, and applicable laws and regulation, will provide a reasonable response to request for care, treatment, and service. 
  • The right to considerate and respectful treatment that is free from mental, physical, sexual, and verbal abuse, neglect, and exploitation. 
  • The right to privacy and confidentiality.
  • The right to receipt of adequate health information, including the name and credentials of the health care professional(s) delivering care, treatment, and services.
  • The right to approve or refuse the release of information from their medical record except when release is required by law and to have access to the information contained in the record within the limits of the law. 
  • The right to information regarding diagnosis, evaluation, treatment, costs, and prognosis to enable participation in decision-making regarding care. This includes the right to assistance in preparing an advance directive.  When it is medically inadvisable to give such information, the information is provided to a person designated by the individual or to a legally authorized person. 
  • The right to receive copies of and examine your clinical record and billing record.
  • The right to refuse to participate in research studies. 
  • The right for interpretation or translation services during medical care, treatment, and services. 
  • The right to choose a health care professional, change a health care professional as well as the right to request a second opinion or referral. 
  • The right to appropriate assessment and management of pain.
  • The right to refuse care, treatment, and services in accordance with the law and the regulation. 
  • The right to access protective and advocacy services. 
  • The right to voice concerns about care and safety and information about the complaint resolution process. 
  • The right to contact the Joint Commission to file a Quality Incident Report at if the concerns cannot be resolved through the organization. 
  • The right to contact the Centers for Medicare and Medicaid Services (CMS) Central Offices, Division of Laboratory Services (CLIA) for concerns about laboratory operation at 410-786-3531 or at 1-877-267-2323 (toll free) extension 63531. 
  • The right to contact the Nursing Director about a discrimination concern of care and services rendered at Campus Health. 

Patient Responsibilities:

All patients at Campus Health also have certain responsibilities.

  • The responsibility to provide, to the best of your knowledge, accurate and complete information about current and past illnesses, hospitalizations, medications, and other matters pertaining to your health. 
  • The responsibility to acknowledge the treatment plan recommended by your health care professional and to express concerns regarding your ability to comply. 
  • The responsibility for consequences of actions should treatment, care or services be refused or if the choice is made not to comply with the health care professional’s instructions. 
  • The responsibility to arrive as scheduled for appointments and to cancel, in advance, appointments that cannot be kept.
  • The responsibility to clarify any questions or concerns about the scope of basic services offered, the costs of such services, and the necessity for medical insurance. 
  • The responsibility to bring forward suggestions or concerns on care and safety about Campus Health programs or staff. This responsibility includes the right to open communication and assurance of continued access to care. 
  • The responsibility to work cooperatively with the health care providers regarding pain assessment and therapeutic management. 
  • The responsibility to fulfill any financial obligation for care, services, and treatment rendered at the Campus Health. 
  • The responsibility to show consideration towards the organization, staff, and other recipients of service as well as the property of the aforementioned parties.

Nondiscrimination Statement: Discrimination is Against the Law

Campus Health complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Campus Health does not exclude people or treat them differently because of race, color, national origin, age, disability or sex. Campus Health:

  • Provides free aids and services to people with disabilities to communicate effectively with us, such as:
    • Qualified sign language interpreters
    • Written information in other formats (large print, audio, accessible electronic formats, other formats)
  • Provides free language services to people whose primary language is not English, such as:
    • Qualified interpreters
    • Information written in other languages

If you need these services, contact the Civil Rights Coordinator.

If you believe that Campus Health has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:

Executive Director, Ken Pittman
CB #7470, 320 Emergency Room Drive
James A Taylor Building
Chapel Hill, NC 27599-7470
TTY 711 (NC Relay)
919-966-0616 (fax)
[email protected]

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance the Civil Rights Coordinator is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at, or by mail or phone at: U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 1-800-368-1019, 800-537-7697 (TDD) Complaint forms are available at

To view this statement in another language, use the links below:

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