We are delighted that you have chosen the University of Pittsburgh, School of Dental Medicine to provide your dental care. We pledge that we will make every effort to provide the best treatment possible for you that meets the standards of care of the profession.
The School of Dental Medicine accepts patients with dental needs that are considered appropriate for teaching students contemporary techniques of dentistry regardless of race, religion, gender, age disability, sexual orientation, or ethnic or national origin. However, we reserve the right to refuse treatment, except to relieve pain or protect life, to any person for the following reasons:
The patient (or his/her immediate family) has a history of not discharging their financial obligations to the dental school.
The patient (his/her immediate family) has a history of not abiding by the patient responsibilities.
The patient's conduct is disruptive or compromises the rights of others.
The patient discriminates against student doctors, dental hygienists, faculty or staff on the basis of race, color, religion, ethnicity, national origin, age, sex, sexual orientation or marital, veteran, or handicapped status.
We want you to know that you have rights as our patient and encourage you to let us know if you feel we have not lived up to our pledge or if you feel that your rights were not honored.
During the registration process each patient is provided with a hard copy of a packaged consent document which includes:
- Patient Bill of Rights and Patient Responsibilities
- Acknowledgement of Receipt of Privacy Practices
- Consent to Initial Examination
- Continuity of Patient Care Policy
- Informed Patient Consent
- Maintenance and Replacement/Repair of Dental Restorations/Prostheses
- Patient Information Brochure
- Preventative Dentistry Policy
- School of Dental Medicine Billing Policy