Bill of
Rights
DENTAL CLINIC
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Welcome
Welcome to Case Western Reserve University School of Dental Medicine.
We are delighted that you chose us as your dental care provider. The School
of Dental Medicine is committed to providing you with high quality dental
care. This booklet contains important Information for registered patients
of the School of Dental Medicine.
We urge you to take the time to read
through it carefully, and to direct any questions you may have to your
dental care provider.
The Mission of the School of Dental Medicine
To provide outstanding programs in oral health education, patient care,
focused research and scholarship, and service that are of value to our
constituents. We will accomplish this in an environment that fosters
collegiality and professionalism, and that enables a diverse group of
students to become competent oral health care providers and contributes
to the health and well being of individuals and communities.
Table of Contents
Welcome 1
Hours of Operation 2
Location
Parking Info
Introduction 3
Department Contact
Patient Rights 4
Patient Responsibilities 6
Patient Inquiry 8
Discontinuing Treatments
Appointments 9
Treatment Policies 10
Continuity of Care 11
Student Doctor Assignments
Emergency Dental Care 12
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Scheduling for Predoctoral
(DMD) Clinic
New Patient Admissions 216.368.8730
Emergency and 216.368.3200
Existing Patients
DMD 1 216.368.3819
DMD 2 216.368.3864
DMD 3 216.368.3707
DMD 4 216.368.3570
DMD 5 216.368.6766
DMD 6 216.368.0214
DMD 7 216.368.0450
DMD 8 216.368.0746
Specialty Departments
Advanced Education 216.368.3290
General Dentistry
Craniofacial 216.368.4331
Orthodontics
Oral and Maxillofacial 216.368.2538
Surgery
Grad Endodontics 216.368.3236
Grad Orthodontics 216.368.3249
Grad Periodontics 216.368.3615
Grad Pediatrics 216.368.6185
Radiology 216.368.2645
The primary role of the Case Western Reserve University School of Dental Medicine’s
Clinical Education Program is the training of dental health professionals. The care
performed by our student doctors and residents, and overseen by our faculty and
attendings, is carried out in a manner that prioritizes education while maintaining
a standard of care of the dental profession.
Please be advised that an educational program clinic differs from a private clinic
in many ways, and certain services and amenities provided at a private practice
may not be available in a teaching clinic. Patients are charged a fee to cover the
operating costs and services of the clinic. Educating our student doctors and
residents during patient care will result in longer treatment time for most of our
procedures and treatment when compared to a private dental office. Patients
should consider the amount of time necessary to complete their care at Case
Western Reserve University School of Dental Medicine to be sure this will
not impose any undue hardship. Further, our student doctors will have periodic
educational breaks in their training and therefore, during these times, the patient
clinics will not be open for routine dental appointments.
CWRU School of Dental Medicine:
Clinic location: 9601 Chester Avenue, Cleveland, Ohio 44106
Mailing address: 10900 Euclid Avenue, Cleveland, OH 44106-4905
Parking Fees
A parking lot adjacent to the Dental Clinic is exclusive to our Dental Clinic
and is managed by Standard Parking (SP Plus). The School of Dental
Medicine does discount but not validate parking. Patients are responsible
for their own parking fees and transportation. Overflow parking is also
available in the Cleveland Clinic JJ Garage.
CWRU School of Dental Medicine Phone Number
Dental School Operator 216.368.3200
Dental School Fax 216.368.3204
Dental Clinic Hours of Operation
Our clinics are open Monday through Friday throughout the school
year, excluding holidays. During vacations, emergency care coverage
for registered school patients on selected weekdays is provided from
9:30 a.m. to 12:30 p.m. A fee may apply.
In case of emergencies, involving severe pain, infection, bleeding and/
or swelling, on weekends or school holidays, please contact University
Hospital Cleveland Medical Center at
216.844.1000 and ask for the
CWRU School of Dental Medicine resident on call to be paged. Please
be advised that the hospital emergency room will not replace or repair
fillings, crowns, or other dental appliances. A standard hospital fee for
emergency visits, in addition to the hospital’s dental clinic procedure
fee, may be applied. These fees are the patient’s responsibility.
Understanding an Educational Program Clinic
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Your Case Western Reserve University dental student and/or dental resident
is the best source of information about your oral health and wants you
to feel comfortable about your care. Maintaining healthy teeth and gums
means more than just brushing and flossing every day and visiting the clinic
regularly. As an informed dental patient, it also means knowing what you
can expect from your dental care team and understanding your role and
responsibilities in support of their efforts to provide you with quality oral
health care. The rights and responsibilities listed below do not establish
legal entitlements or new standards of care, but are simply intended to
guide you through the development of a successful and collaborative
dentist-patient relationship.
Patient Rights
• You have the right to access your dental
records upon request, and to have the
information explained or interpreted
as necessary. Your record will not be
released without your written consent,
except when required by law or a third-
party payer contract, or as permitted
under the Health Insurance Portability
and Accountability Act of 1996 (HIPAA).
• You have the right to know sufficient
information to allow you to give us your
signed informed consent before any
treatment is started. Life threatening
emergency care could be an exception.
Such Information includes detailed
treatment plan(s), risks, benefits, and
treatment alternatives for your dental
condition including estimated costs.
• You have the right to prompt treatment
(within the time constraints of the
school calendar) and continuing care
after you have reached a maintenance
level, including follow-up care.
• You have the right to privacy
concerning your dental treatment.
Discussions concerning your care will
remain confidential between you, your
dental student, attending specialty
residents (if applicable), clinical staff
involved with your treatment, and
the supervising faculty.
• You have the right to receive complete
and current information concerning
the diagnosis, prognosis and treatment
of your dental condition, in terms
you can understand.
• You have the right to expect that your
care meets the Standards of Care of
the profession.
• You have the right to considerate and
respectful care without discrimination
as to age, race, color, religion, sex,
national origin, disability, gender
identity or sexual orientation.
• You have the right to request and
examine any financial statements
regarding your treatment.
• You have the right to continue care
as a recall patient after you have
completed treatment and have
reached maintenance level.
• You have the right to emergency care
as needed, following the guidelines
previously discussed in this booklet.
• You have the right to refuse treatment
suggested for you. In that event, you
will be advised of the consequences of
your decision, including the possibility
that your case may be deemed a
non-teaching case.
• You have the right to prompt initiation,
continuity, and completion of treatment
(within the time constraints of the
school calendar).
• You have the right to decide to
participate or not as a subject of a
research effort. Your status as a patient
will not be affected by your decision.
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•
You have the responsibility to provide,
to the best of your knowledge, accurate
and complete information about your
present health, dental complaints,
past illnesses, hospitalizations,
medications, and other matters
pertaining to your health.
• You have the responsibility to keep your
appointments, arrive on time and to
be available preferably for treatment.
(We recommend once every two weeks
until your treatment is complete.) If
you are unable to make a scheduled
appointment, you must call at least
24 hours in advance. Patients may be
dismissed from the program for three
failed or no-show appointments.
• You have the responsibility to promptly
tell your dental student/resident if
you do not understand the treatment
plan(s) developed for you or if you
do not understand the course of your
treatment or what is expected of you.
• You have the responsibility to follow the
recommended instructions, including
preventive techniques and follow-up
treatment given to you by your dental
student or a faculty member.
• You have the responsibility to
know your insurance coverage and
comply with the requirements of
your insurance carrier. It is your
responsibility to pay in full at the
time services are rendered.
• You have the responsibility to accept
comprehensive care and/or receive care
in our speciality clinics. If you refuse our
treatment plan(s), the School of Dental
Medicine has the right to discontinue
providing services to you as a patient.
In the event this occurs, you bear the
responsibility for any damage to your
oral health and other circumstances
that result from the refusal.
• You have the responsibility to adhere
to the school policies, and to behave
in a manner that is not offensive in the
clinic setting. CWRU School of Dental
Medicine is an institution of higher
learning and services are provided to
the community where civility is key
to a teaching environment.
• You have the responsibility to address
any concerns related to your care with
your student, resident and/or faculty
and/or attending. If these various
individuals do not resolve your concerns,
you can reach the Office of Patient
Services for additional assistance. For
concerns of financial nature, please
ƅƐƅƐ the AuditingDepartment via
216.368.6801.
• You have the responsibility toreport
any changes in your healthor contact
information since yourlast
appointment.
• You have the responsibility to ensure
children and dependent adults are not
left unattended in any part of the building
and do not access treatment areas.
Patient Responsibilities
In addition to the rights expressed previously as a patient
of the Case Western Reserve University School of Dental
Medicine, you also have responsibilities to the clinic and your
healthcare provider. Those responsibilities are outlined below:
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Discontinuing Patient Treatment
CWRU School of Dental Medicine accepts all patients with dental needs that
are considered appropriate for teaching students, regardless of race, religion,
gender identity, age, disability, sexual orientation, ancestry or national origin.
However, we reserve the right to dismiss patients or refuse treatment (except
to relieve pain or protect life) to any person for the following reasons:
• The patient has a history of not
meeting their financial obligations
to the School of Dental Medicine.
• The patient has a history of not
abiding by the patient responsibilities
listed herein.
• The patient’s needs are beyond the
skill level of students and/or residents.
• The patient’s (or person accompanying
the patient) conduct is disruptive or
compromises the rights of others,
or the patient has a history of
disruptive conduct.
• Patient engages in inappropriate
conduct, touching or hindering
another person’s movement.
Appointments
All treatment in the School of Dental Medicine’s undergraduate clinical
programs is provided by students. Your appointments are coordinated
by our scheduling staff.
• Clinic starts promptly at 10:00 a.m. and
extends to 4:30 p.m. Monday through
Friday. You should plan to have at least
four (4) hours a week available for your
dental treatment (i.e. this may be two
2-hour appointments or one 4-hour
appointment depending on the nature
of the procedure). If your availability is
too limited, your case will be discharged
as a “NON-TEACHING CASE”.
• Appointments should be cancelled
only if it is absolutely necessary and
you are able to contact the Clinic at
least 24 hours in advance. Excessive
cancellations or three failed/broken
appointments during the course of
a year may result in your treatment
being terminated.
• A patient who does not arrive for an
appointment, cancels less than 24
hours in advance, arrives too late for
treatment to be provided, not taking
required pre-treatment medication or
not bringing payment will forfeit their
appointment, and it will be considered
a ‘failed appointment.’
Patient Inquiry
If you have questions about your treatment, fees, or rights,
you should contact your student doctor and/or resident
who may direct you to appropriate office. Resolution
of non-financial problems and/or complaints should be
attempted to be resolved while the patient is in the Clinic
and the immediate faculty supervisor of the day is present.
In the event this effort is unsuccessful, please contact the
office of patient services at 216.368.3882.
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Continuity of Care
Patients of record will not have the option to select only limited portions of
the recommended treatment plan for dental care or to split services between
the CWRU School of Dental Medicine and a private dentist. Patients who are
referred for specialty services (such as endodontics, periodontics, oral surgery,
implants, orthodontics, or oral pathology services) by their private dentist will
receive only the specialty care specifically requested and will not be accepted
for restorative services.
Student Doctor Assignments
• Requests for a transfer to another
student are to be discussed with
the faculty supervising your case.
• The Dental School will not honor
repeated requests for a new
student or resident.
• As an equal opportunity employer,
the Dental School does not make
assignments based on race, religion,
gender identity, age, disability,
sexual orientation or national origin.
After your initial screening appointment, if you are accepted as a teaching
case, you will be given one or more additional appointments to determine
your personal treatment plan(s), depending on the complexity of the case.
Two treatment plans may be presented. One will be the preferred plan to
provide the complete restoration of your mouth. A second plan may be
presented that offers you a more limited and likely less expensive alternative.
Please know that all treatment plans are estimates and additional services or
a new treatment plan may be needed for newly discovered conditions. Please
bear in mind that many of these less expensive alternatives also represent fewer
permanent solutions to your dental health problems. To further assist you, in
some cases, treatment can be phased so that treatment can be affordable.
The school does not generally accept new patients that request limited care
or allow patients of record to continue treatment for emergency and/or urgent
care only. Patients who continue to present only for emergency and/or urgent
care will be dismissed from the program.
During your appointment, cell phone use is not permitted. We do not allow
photography or video recording within the Dental Clinics at any time.
Treatment Policies
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THANK YOU
FOR CHOOSING
THE CWRU
DENTAL CLINIC
Emergency Dental Care
Emergency dental care consists of treatment of pain, infection, bleeding and
trauma. Emergency care does not include comprehensive examination and
replacement of existing restorations or repair of prosthodontic appliances.
Patients seen for emergency treatment, who do not have a private dentist,
are encouraged to return to the school for comprehensive care.
Registered patients who have a dental emergency during normal school hours
should contact the clinic by calling the School’s receptionist at
216.368.3200.
• During school vacations, emergency care coverage for registered school
patients on selected week days is provided from 9:30 a.m. to 12:30 p.m.
To schedule, call 216.368.3200. In case of an emergency on weekends
or school holidays, please contact University Hospital Cleveland Medical
Center at 216.844.1000 and ask for the CWRU School of Dental Medicine
resident on call to be paged. You will be responsible for any fees related
to hospital treatment.
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CWRU prohibits the use of tobacco products
at all times on campus property.
