The doctors and staff of the Dental Care Center recognize that while
you are a patient here you have a right, consistent with the law to:
1) Understand and use these rights. If for any reason you
do not understand, or need help, the Dental Care Center will provide
assistance, including an interpreter.
2) Receive treatment without discrimination as to race,
color, religion, sex, national origin, disability, sexual orientation or source
of payment.
3) Receive considerate and respectful care in a clean
and safe environment free of unnecessary restraints.
4) Receive emergency care if you need it, provided that
the care which is required can be delivered consistent with the educational
program of the school and the personnel and facilities of the clinic.
5) Know the names, positions and functions of any
member of the faculty, student body, and staff of the Dental Care Center
involved in your care and refuse their treatment, examination or
observation.
6) Receive complete information about your diagnosis,
treatment and prognosis.
7) Receive all the information that you need to give informed
consent for any proposed procedure or treatment. This information shall include
the possible risks and benefits of the procedure or treatment.
8) Refuse treatment and be told what effect this may
have on your health.
9) Refuse to take part in research. In deciding whether or
not to participate, you have the right to a full explanation.
10) Privacy in keeping with the Center's clinical facility
while receiving treatment at the Center and confidentiality of all information and
records regarding your care.
11) Participate in decisions about your treatment.
12) Review your dental record whithout charge, and obtain a
copy of your x-ray for which the Dental Care Center can charge a reasonable
fee. You cannot be denied a copy solely because you cannot afford to pay.
13) Receive an itemized bill and explanation of all charges.
14) Complain without fear of reprisals about the care
and services you are receiving and to have Dental Care Center respond to you,
and if you request it, a written response. If you are not satisfied with the
response, you can complain to the New York State Department of Health. The Dental
Care Center must provide you with the telephone number of the Health Department.
