The Barnes Center at The Arch health and wellness team is committed to providing a confidential environment and experience. When receiving a confidential service, the information provided and accompanying records are kept private and protected. Only you and your treating health care providers have access to information regarding your care unless you provide access to others such as family members and/or guardians.
On-Campus Confidential Resources
The following individuals at the Barnes Center are neither required, nor permitted to provide any information to any outside party, without the consent of the student: counseling therapists, Sexual and Relationship Violence Response Team members, the 24-Hour Support phone line and health care providers. More specifically, these individuals will not provide any information about a reported incident to the Syracuse University Title IX Coordinator or any law enforcement agency without the student’s permission.
All other employees at the Barnes Center, other than those mentioned above, are considered responsible employees and are obligated to disclose all information related to discrimination, harassment, and/or sexual misconduct to the Title IX coordinator.
Additional information and resources are available on the Office of Equal Opportunity, Inclusion, and Resolution Services site.
Prior to a health care and/or counseling appointment, students will receive a private email and text message containing details of how to proceed when arriving for the appointment(s).
Upon arriving to the Barnes Center at The Arch first floor reception area, students will be escorted to private meeting areas. Within the private meeting areas, students will have the opportunity to meet with a member of the health and wellness team to further discuss services and resources available to meet unique needs.
Navigating the Barnes Center at The Arch
The Barnes Center at The Arch was designed to facilitate privacy. The physical layout of the space provides students the opportunity to access services and resources from multiple entry points, enhancing privacy without providing a clear identification of actions to others.
Counseling services are completely confidential, except in cases where there is a court order requiring the release of information or there is imminent danger to self or others. For you this means, we do not release information to your parents, faculty, staff, or others about your counseling without a signed release from you that would permit such an exchange of information.
Counseling services adheres to the ethical guidelines of the American Psychological Association, including strictly respecting your right to confidentiality of records and information shared by you in a counseling session. All records, computerized and written, will be stored, retrieved, and maintained according to acceptable ethical guidelines. Counseling services will generally release records only to other mental health care providers; however, you should be aware that there are certain circumstances under which your right to confidentiality may be outweighed by a conflicting legal or ethical duty of the Counseling services to disclose confidential information. For example, if the Counseling services determines that you are potentially harmful to yourself or others, or learns of child neglect or abuse, or is ordered by a court of law or otherwise required by law to surrender its records (as in child custody cases), then the Counseling services may have to disclose information that you shared on a confidential basis. In all other circumstances, the Counseling services will obtain your prior written permission before disclosing your confidential information to anyone.
Counseling services records are separate from a student’s academic record. No one in the University has access to a student’s Counseling services record unless the student gives permission for that access.
As a training site for counseling programs at Syracuse University, permission may be requested of clients to videotape sessions for the purpose of enhancing counselor development. These recordings will be used to aid the counseling process and gain further understanding of important aspects of treatment. You will never be video recorded without your consent, and you have the right to decline being taped without any impact on your ability to receive counseling services.
Due to concerns regarding confidentiality, the Counseling services does not use e-mail to communicate with clients.
As a general policy, Counseling services will not write notes to excuse you from your academic responsibilities. In specific circumstances, mutually agreed upon by you and your therapist, the Counseling services can verify only that you were a client at the center and the dates that you attended sessions. Missed classes or incomplete work are issues between you and your instructor.
The Barnes Center at The Arch Health Care Services is designated as a covered entity by the Family Educational Rights and Privacy Act of 1974 (FERPA) and as such is governed by the privacy and security regulations provided within the FERPA legislation. The Health Care Service Notice of Privacy Practices (NPP) is made in compliance with the Standards for Privacy of Individually Identifiable Health Information (the Privacy Standards) established by the United States Department of Health and Human Services (DHHS) and summarizes the privacy practices of the Health Care Services at the Barnes Center at The Arch.
Treatment Records, as defined by FERPA and its accompanying regulations (the Privacy Standards), is individually identifiable health information, including demographic information, that is created, received, transmitted or maintained by Health Care Services, regardless of form (oral, written, or electronic), that relates to:
- the past, present or future physical or mental health or condition of an individual;
- the provision of health care services to an individual; or
- the past, present, or future payment for the provision of health care to an individual.
Treatment records may include, but is not necessarily limited to, medical records, billing records, medical images, consultant reports, laboratory or other diagnostic testing results, and any other individually identifiable information.
Confidentiality of Records
All treatment records created, received, transmitted, or maintained by Health Care Services is confidential and remains the property of Health Care Services. Confidentiality extends to treatment records in any medium, including information that is on paper, in the computer systems of Syracuse University, or communicated verbally.
Employees may not divulge, copy, transfer, alter, or destroy any treatment records, or remove any treatment records from Health Care Services, except as authorized by Health Care Services. Employees must hold in strictest confidence any and all access codes, passwords, and/or authorizations provided by Health Care Services as an employee of Health Care Services.
Health Care Services has implemented appropriate administrative, technical, and physical safeguards to protect the privacy of treatment records and to safeguard treatment records from any intentional or unintentional uses or disclosures that are in violation of the Privacy Standards and/or the policies and procedures of Health Care Services. Employees must strictly comply with all applicable federal and state laws and regulations, and all policies and procedures established by Health Care Services relating to the confidentiality and protection of treatment records.
NOTICE OF PRIVACY PRACTICES As Required by the Family Educational Rights and Privacy Act of 1974 (FERPA) Privacy Regulations
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
Please review carefully.
This Notice of Privacy Practices (NPP) is made in compliance with the Standards for Privacy of Individually Identifiable Health Information (the Privacy Standards) established by the United States Department of Health and Human Services (DHHS) as required under the Family Educational Rights and Privacy Act of 1974 (FERPA). This NPP summarizes the privacy practices of the Health Care Services at The Barnes Center at The Arch (Health Services). The Privacy Standards shall control in the event of a discrepancy between this NPP and the Privacy Standards.
Health Services is required under FERPA to protect the privacy of your treatment records, as defined below, and to inform you, through this NPP, about:
- the duties of Health Services with respect to your treatment records;
- how Health Services may use and disclose your treatment records;
- your privacy rights with respect to your treatment records;
- your right to file a complaint with Health Services and with the Secretary of the DHHS; and
- who to contact for further information about the privacy practices of Health Services.
Treatment records, as defined by FERPA, includes individually identifiable information about you that is transmitted or maintained by Health Services, including demographic information, and includes information that is created or received by Health Services that relates to:
- your past, present or future physical or mental health or condition;
- the provision of health care services to you; or
- the past, present, or future payment for the provision of health care to you.
Health Services is required to abide by the terms of the NPP that is currently in effect for Health Services. Health Services reserves the right to revise or amend the terms of this NPP. Any revision or amendment to the NPP will be effective for all records that Health Services has created or maintained in the past, and for any of your records that Health Services may create or maintain in the future. You will be informed of any material changes made to our NPP. In addition, Health Services will post a copy of our most current NPP in our reception area at all times. You may also obtain a copy of our most current NPP at any time by asking for a copy at the time of your next visit, or by calling 315.443.8000.
If you have any questions about this NPP or would like further information about FERPA, please contact Syracuse University Barnes Center at The Arch 150 Sims Drive, Syracuse, N.Y. 13244, or by calling 315.443.8000.
B. How Health Services May Use and Disclose Your Treatment Records
FERPA permits Health Services, its Business Associates, and their agents/subcontractors, if any, to use and/or disclose your treatment records, without prior authorization, for the purposes of treatment, payment, and other health care operations of Health Services, which are described below. Health Services will disclose your treatment records to its Business Associates only if it has received satisfactory assurances that its Business Associates will appropriately safeguard your treatment records. FERPA also permits Health Services to use and disclose your treatment records, without prior authorization, for other specific purposes that are also described below. For each category, we have provided a description and some examples of the permitted uses and/ or disclosures. The following examples are illustrative and are not meant to be a complete description of the permitted uses and disclosures of Health Services.
- Treatment. Health Services may use and/or disclose your treatment records with other health care providers who are involved in your care and treatment. For example, Health Services may use or disclose treatment records about you to physicians, nurses, paraprofessionals, technicians, or other Health Services’ personnel who are involved in your care and treatment. Many of the people that work for Health Services, including, but not limited to, our health care providers, may use or disclose your treatment records in order to treat you or to assist others in your care and treatment. We may also disclose treatment records about you to health care providers outside of our office who are involved in your care or treatment. For example, we may disclose your treatment records to a referring physician or a pharmacy for treatment purposes. We may also share your treatment records in order to coordinate services, such as laboratory work and/or x-rays.
- Payment. Health Services may use and/or disclose your treatment records in order to bill or to collect payment for services you have received from Health Services. For example, we may use or disclose treatment records to your health insurer or to another party responsible for payment in order to obtain payment, or to certify that you are eligible for benefits. We may also disclose to your insurer information about a treatment or service you may receive from Health Services in order to obtain prior approval for such service, or to determine whether your plan will cover the treatment or service.
- Health Care Operations. Health Services may use and/or disclose treatment records in order to conduct its normal business operations. For example, Health Services may use your treatment records to review the treatment and services it provided, to evaluate the performance of its staff in caring for you, or to educate its staff on how to improve the care they provide to you. Health Services may also disclose your treatment records to another entity that performs business services on behalf of Health Services, such as billing companies, technology and software vendors, attorneys, or external auditors. Prior to such disclosures, however, FERPA requires Health Services to sign a Business Associate Agreement with such entities to ensure the protection of your treatment records.
- Appointment Reminders/Follow up Telephone Calls/Emails. Health Services may use and/or disclose treatment records to contact you with a reminder that you have an appointment for treatment or medical care. Such contacts may include telephone messages and/or electronic mail messages. We may also call to follow up on care you received, to communicate test results, or to confirm an appointment with Health Services or another health care provider.
- Individuals Involved in Your Care or Payment for Your Care. Subject to the Family Educational Rights in Privacy Act (FERPA), FERPA permits Health Services to disclose your treatment records to a family member, other relative, or any other person identified by you, if:
- you are present for, or otherwise available prior to the disclosure and we have either obtained your agreement to the disclosure, provided you the opportunity to object to the disclosure, or Health Services has reasonably inferred from the circumstances that you do not object to the disclosures;
- due to your incapacity or an emergency circumstance, Health Services has determined that a disclosure is in your best interest – in such circumstances, Health Services will only disclose treatment records that are directly relevant to the person’s involvement with your health care.
- Emergencies. Health Services may use and/or disclose treatment records to provide you with emergency treatment in emergency situations.
- As Required by Law. Health Services may use and/or disclose your treatment records if we are required to do so under any federal, state or local law.
- Public Health Risks. Health Services may use and/or disclose your treatment records to authorized public health officials (or a foreign government agency collaborating with such officials) so such officials may carry out public health activities. For example, Health Services may disclose your treatment records to public health officials for the following reasons:
- to prevent or control disease, injury or disability;
- to report vital events such as births and deaths;
- to report abuse or neglect of children or adults;
- to report quality, safety or effectiveness of FDA-regulated products or activities;
- to notify people of product recalls they may be using;
- to notify a person who may have been exposed to a communicable disease or may be at risk for contracting or spreading a disease or condition; or
- to your employer, if your employer hires us to provide you with a medical evaluation or to evaluate whether you have a work-related illness or injury that your employer must know about in order to comply with employment laws.
- Victims of Abuse, Neglect, or Domestic Violence. Health Services may disclose your treatment records to government authorities, including a social service or protective services agency, authorized by law to receive reports of abuse, neglect or domestic violence. For example, Health Services may report your treatment records to government officials if it reasonably believes that you have been a victim of abuse, neglect or domestic violence. Health Services will make every effort to obtain your permission before releasing this information, however, in some cases Health Services may be required or authorized to act without your permission.
- Health Oversight Activities. Health Services may disclose your treatment records to a health oversight agency for activities authorized by law. These agencies typically monitor the operation of the health care system, government benefits programs, and compliance with government regulatory programs. The oversight activities may include audits; civil, criminal, or administrative investigations or actions; inspections; and/or licensure or disciplinary actions.
- Lawsuits and Similar Proceedings. Health Services may use or disclose your treatment records in response to a court or administrative order, if you are involved in a lawsuit or similar proceeding. Health Services may also disclose your treatment records in response to a discovery request, subpoena, or other lawful process that is not accompanied by an order of a court or administrative tribunal, but only if we have first received satisfactory assurances from the party requesting the information that reasonable efforts have been made to inform you of the request, or if Health Services has received satisfactory assurances that efforts have been made by the party seeking the information to obtain a qualified protective order. A qualified protective order is an order of a court or an administrative tribunal or a stipulation by parties to the litigation that prohibits the parties from using or disclosing treatment records for any purpose other than the litigation or proceeding. A qualified protective order will require the return of treatment records to Health Services at the end of the litigation or proceeding.
- Law Enforcement Purposes. Health Services may disclose your treatment records to law enforcement officials for the following reasons:
- in response to court orders, warrants, subpoenas, or summons or similar legal process;
- to assist law enforcement officials with identifying or locating a suspect, fugitive, material witness, or missing person;
- if you have been or are suspected of being a victim of a crime and you agree to the disclosure, or if we are unable to obtain your agreement because of incapacity or other emergency.
- if we suspect that a death resulted from criminal conduct;
- to report evidence of criminal conduct that occurred on our premises;
- in response to a medical emergency, to report a crime (including the location or victims of the crime; or the identity, description or location of the person who committed the crime).
- Coroners, Medical Examiners and Funeral Directors. Health Services may disclose your treatment records to a coroner or medical examiner for the purpose of identifying a deceased person, determining cause of death, or other duties as authorized by law. Health Services may also release treatment records to funeral directors as necessary to carry out their duties.
- Research. In most cases, Health Services will ask for your written authorization before using and/or disclosing your treatment records to conduct research. However, in limited circumstances we may use and/or disclose treatment records without authorization if: (i) the use or disclosure was approved by an Institutional Review Board or a Privacy Board; and (ii) we obtain representations from the researcher that the information is necessary for the research protocol, treatment records will not be removed from our practice, and the information will be used solely for research purposes; or (iii) the treatment records sought by the researcher relates only to decedents and the researcher agrees that the use or disclosure is necessary for the research.
- To Avert Serious Threat to Health or Safety. Health Services may use or disclose your treatment records when necessary to prevent or lessen a serious and imminent threat to your health or safety, or the health or safety of another person or the public. In such cases, Health Services will only share your treatment records with a person or persons reasonably able to prevent or lessen the threat, including the target of the threat; or if it is necessary for law enforcement authorities to identify or apprehend an individual.
- Specialized Government Functions. Health Services may use and disclose treatment records regarding:
- Military and veteran activities;
- Intelligence, counter-intelligence, and other national security activities authorized by law;
- Protective services for the President, to foreign heads of state, or to other persons authorized by law;
- Inmates to a correctional institution or a law enforcement official having lawful custody of an inmate or other individual.
- Workers' Compensation. Health Services may disclose your treatment records for workers' compensation or other similar programs that provide benefits for work-related injuries or illnesses.
Except as otherwise indicated in this NPP, uses and disclosures for all other purposes will be made only with your written authorization. You may revoke any authorization at any time, provided that your revocation is done in writing, and except to the extent that Health Services has already relied upon your authorization.
C. Your Rights Regarding Your Treatment Records
FERPA provides you with the following rights regarding the treatment records we maintain about you:
- Right to Inspect and Copy. You have the right to civil, criminal, or administrative action or proceeding; and treatment records maintained by Health Services that is subject to the Clinical Laboratory Improvement Amendments of 1988.
A "designated record set" is a group of records maintained by or for Health Services that is the medical records and billing records about you.
To inspect or obtain a copy of your treatment records contained in a designated record set, please submit a request in writing to Syracuse University Barnes Center at The Arch 150 Sims Drive, Syracuse, N.Y. 13244. If you request a copy of your record set, we may charge a fee for the costs of copying, mailing or other supplies we use to fulfill your request. The standard fee is $0.75 per page and must generally be paid before or at the time we provide you with copies of your treatment records. Health Services will respond to your request for inspection of records within 10 days, and will respond to requests for copies within 30 days if the information is located within our facility. If Health Services needs additional time to respond to your request for copies, we will notify you in writing within the time frame above to explain the reason(s) for such delay and when you can expect to have a final answer to your request. Under certain circumstances, Health Services may deny your request to inspect or obtain a copy of your treatment records. If your request for inspection is denied, we will provide you with a written notice explaining our reasons for such denial, and will include a complete description of your rights to have the decision reviewed and how you can exercise those rights.
- Right to Amend. You have the right to request that Health Services amend your treatment records or a record about you in a designated record set for as long as the information is kept by Health Services, if you feel that the treatment records Health Services has about you is incorrect or incomplete.
Health Services may deny your request for amendment if it determines that the treatment records or record that is the subject of the request:
- was not created by Health Services, unless you provide a reasonable basis to believe that the originator of the treatment
- is not part of the designated record set;
- would not be available for your inspection under the Privacy Standards (as described in Right to Inspect and Copy Section, above); or
- is accurate and complete.
To request an amendment, your request must be made in writing and submitted to Syracuse University Barnes Center at The Arch 150 Sims Drive, Syracuse, N.Y. 13244. In addition, your request should include the reasons(s) why you believe Health Services should amend your information.
Health Services will respond to your request for amendment no later than 60 days after the receipt of your request. If Health Services needs additional time to respond to your request, we will notify you in writing within 60 days to explain the reason(s) for the delay and the date by which we will complete your request.
If Health Services denies your request for an amendment we will provide you with a written notice of the denial that explains the reasons for doing so. You will have the right to submit a written statement disagreeing with the denial. You will also be informed of how to file a complaint with Health Services or with the Secretary of the DHHS. These procedures will be explained in greater detail in any written denial notice.
- Right to an Accounting of Disclosures. You have the right to request an "accounting of disclosures." An "accounting of disclosures" is a list of disclosures Health Services has made regarding your treataccounting of disclosures will include all disclosures except the following:
- Disclosures to carry out treatment, payment, and health care operations;
- Disclosures made to you;
- Disclosures made pursuant to your authorization;
- Disclosures made in a facility directory or to persons involved in your care;
- Disclosures for national security or intelligence purposes;
- Disclosures to correctional institutions or law enforcement officials; or
- Disclosures made before Monday, April 14, 2003.
The accounting of disclosures will be in a format that is consistent with the requirements of the Privacy Standards. To request an accounting of disclosures, you must submit your request in writing to: Syracuse University Barnes Center at The Arch 150 Sims Drive, Syracuse, N.Y. 13244. Your request must include a time period of requested disclosures, which may not be longer than six years and may not include dates before Monday, April 14, 2003. The first list you request within a 12-month period will be free. Additional lists within the same 12 month period will be assessed a charge for the costs of providing the list. Health Services will notify you of the cost involved, at which time you may choose to withdraw or modify your request before any costs are incurred.
Health Services will respond to your request for an accounting of disclosures within 60 days from the receipt of such request. If Health Services needs additional time to prepare the accounting, we will notify you in writing within 60 days about the reason for the delay and provide you with the date when you can expect to receive the accounting.
- Right to Request Restrictions. You have the right to request a restriction or limitation on the treatment records Health Services uses or discloses about you for treatment, payment or health care operations. You also have the right to request a limit on the medical information that Health Services discloses about you to someone who is involved in your care, like a family member, relative, friend, or other person(s) identified by you.
Health Services is not required to agree to your request for restrictions. If Health Services does agree to a requested restriction, Health Services may not use or disclose treatment records in violation of such restriction, unless the information is needed to provide you with emergency care or treatment, or as otherwise required by law. Under certain circumstances Health Services may terminate its agreement to a restriction.
To request restrictions, you must make your request in writing to: Syracuse University Barnes Center at The Arch 150 Sims Drive, Syracuse, N.Y. 13244. In your request, you must tell us (1) what information you want to limit; (2) whether you want to limit our use, disclosure or both; and (3) to whom you want the limits to apply, for example, disclosures to your spouse.
- Right to Request Confidential Communications. You have the right to request that Health Services communicate with you and your treatment records in a certain way or at a certain location. For example, you can ask that Health Services only contact you at work or by mail.
Health Services will not ask you the reason for your request, and will accommodate all reasonable requests. Your request must specify how or where you wish to be contacted, and how payment for health care will be handled if Health Services communicates with you through this alternative method or location. To request confidential communications, you must make your request in writing to: Syracuse University Barnes Center at The Arch 150 Sims Drive, Syracuse, N.Y. 13244.
- Right to Receive a Paper Copy of This NPP. You have the right to receive a paper copy of this
NPP. You may ask us to give you a copy of this NPP at any time. Even if you have agreed to
receive this NPP electronically, you are still entitled to a paper copy of this NPP. To obtain a
paper copy of this please ask any of our staff members at Health Services.
If you believe your privacy rights have been violated, you may file a complaint with Health Services and/or with the Secretary of the Department of Health and Human Services. To file a complaint with Health Services, please submit a written complaint to: Syracuse University Barnes Center at The Arch 150 Sims Drive, Syracuse, N.Y. 13244. The submission of a complaint to Health Services or to the Secretary of the United States Department of Health and Human Services will not affect your status as a patient Health Services. You will not be retaliated against for filing a complaint.
E. Contact Person
If you have any questions about this Notice of Privacy Practices, please contact: Syracuse University Barnes Center at The Arch 150 Sims Drive, Syracuse, N.Y. 13244 or by calling 315.443.8000.
Parents are welcome to call 315.443.8000 or visit the Barnes Center at The Arch with questions or concerns. Please understand that we cannot discuss your student’s health care information (including whether or not the student has even visited the Barnes Center at The Arch) without the student’s expressed consent.
The mission of the Barnes Center at The Arch Health Care Services is to provide compassionate, quality, student centered healthcare, foster a concept of life long wellness and provide leadership in the field of college health. Health Care Services recognizes that to accomplish this goal, there must be an effective collaboration between our staff, our policies, our priorities, and you, our student-patients.
You Have the Right to:
- Receive considerate and respectful care without discrimination as to race, color, religion, sex, national origin, disability, or sexual orientation.
- Play an active role in the decisions about your health care and treatment, except when such participation is contraindicated for medical reasons.
- Receive complete information about your diagnosis, treatment and prognosis.
- Receive all the information that you need to give informed consent for any proposed procedure or treatment. Such information shall include the possible risk and benefits of the procedure or treatment.
- A listing of services available at Health Care Services.
- Information about provisions for after-hours care and emergency care.
- Be informed about fees and charges associated with your care at Health Care Services and to be informed of our payment policies.
- Refuse to participate in experimental research.
- Review the contents of your medical records with a health care provider without charge.
- Understand what medication(s) is given and why, and to understand the common side effects of a medication.
- Not be examined or treated by a particular health care practitioner, to be informed of the consequences of such decisions, and to request a second opinion if you want one.
- Know what the treatment will be and what risks are involved and to know what to expect as a result of treatment.
- Refuse treatment and be told what effect this may have on your health.
- Express your concerns without fear of reprisal about the care and services you are receiving and any concerns about privacy and to have Health Care Services respond to you and if you request it, a written response.
- Get the name, title, and credentials of the person(s) interviewing, examining, and/or treating you.
- Be assured of the confidential treatment of your protected health information and to have the opportunity to authorize the release of such information under certain circumstances, except when required by law.
- Inspect and/or receive a copy of your protected health information for as long as Health Care Services maintains the record, to the extent permitted by law.
- Request that Health Care Services amend your protected health information for as long as the information is kept by Health Care Services, if you feel that the protected health information Health Services has about you is incorrect or incomplete.
- Request an accounting of disclosures, which is a list of disclosures Health Care Services has made regarding your protected health information, to the extent that Health Services is required under the HIPAA Privacy Rule to list such disclosures.
- Request a restriction or limitation on the protected health information that Health Care Services uses or discloses about you for treatment, payment, or health care operations.
- Receive a paper copy of the Health Care Services Notice of Privacy Practices.
- Be provided with appropriate information regarding the absence of malpractice insurance coverage.
- Request confidential communication and or consultation with your provider or any other persons.
- Privacy in treatment and confidentiality in the treatment of personal and medical records.
You Have the Responsibility to:
- Provide Health Care Services with accurate information about your current and past illnesses, immunizations, medications, and hospitalizations.
- Provide Health Care Services with full and honest information about your health concerns to facilitate proper evaluation and treatment.
- Ask questions if you do not understand the findings, instructions, or treatment.
- Either carry out treatment and education recommendations, or accept responsibility for the outcome.
- Communicate with your health care provider if your condition does not follow the expected course.
- Become informed through available printed material and/or discussion with Health Care Services staff about the scope of the basic services offered, their cost, and the necessity for additional medical insurance.
- Keep appointments or, if you need to cancel or re-schedule, contact Health Care Services as soon as possible, to avoid a fee.
- Be respectful of others and others’ property while in the Health Care Services facility.