Statement of Patient’s Rights

Penn Dental Medicine is committed to providing you, our patient, with quality and comprehensive dental care that meets the standards of care in the profession. When receiving care in any of our clinics, you have the right to:

  • Respectful and considerate treatment.
  • The continuity, completion of care and emergency treatment without unnecessary delay.
  • A timely and reasonable response to your request for care.
  • Treatment without discrimination based upon age, sex, race, color, ethnicity, religion, gender, disability, ancestry, national origin, marital status, familial status, genetic information, gender identity or expression, sexual orientation, culture, language, socioeconomic status, domestic or sexual violence victim status, or source of income.
  • Know costs in advance, an estimate of your proposed treatment, and to receive a detailed explanation of your bill.
  • Access a financial counselor and full information on the availability of known financial resources.
  • Informed consent prior to the start of any procedure, treatment or both.
  • Have all information, including records, pertaining to your dental care treated as confidential except as otherwise provided by law or third-party contractual arrangements.
  • An explanation of recommended treatment, treatment alternatives, the option to refuse treatment, and the risk of no treatment to the extent permitted by Penn Dental Medicine.
  • Be communicated with in a manner that is clear, concise and understandable. If you do not speak English, you should have access, where possible, to an interpreter.
  • Choose whether to participate in clinical research.
  • Instructions for care that is required following a procedure.
  • Voice without recrimination, complaints regarding your care, to have those complaints reviewed, and when possible, resolved by the patient advocate.
  • Access and obtain copies of your dental records upon request, your dental record read only by individuals directly involved in your care, by individuals monitoring the quality of your care, or by individuals authorized by law or regulation.
  • Review and obtain our Notice of Privacy Practices.
  • Receive treatment that meets the standard of care in the profession.

Statement of Patient’s Responsibilities

As a patient of Penn Dental Medicine, you are expected to work with your dental care team to facilitate your treatment. We expect you to:

  • Observe federal, state, local, and university rules and regulations.
  • Provide accurate and complete information about present complaints, past illnesses, hospitalizations, medications, and other matters relating to your health history or care for you to receive effective dental treatment
  • Cooperate with your dental care team.
  • Ask questions if you do not clearly understand your dental care.
  • Be considerate and respectful of other patients, dental care providers, and staff members.
  • Be prompt and considerate of your dental student’s time; if you need to cancel an appointment, please cancel at least 24 hours in advance or it will be considered a broken appointment.
  • Observe the School’s no smoking policy.
  • Accept financial responsibilities for all services you receive.

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