Notice of Privacy Practices (PDF)
As a patient of the UB School of Dental Medicine, you have both
rights and responsibilities.
- Understand and use these rights. If for any reason you do not
understand or need help, the school will provide
- Be treated with dignity and respect, regardless of your race,
religion, age, sex, beliefs, lifestyle, national origin,
disability, or sexual orientation.
- Receive confidential treatment in a clean and safe environment,
free of unnecessary restraints.
- Receive continuous care to completion of planned treatment with
knowledge of anticipated cost.
- Receive emergency, incremental and total care consistent with
the standard of care in the profession.
- Receive education, counseling and explanations to your
- Know the names, positions and functions of any personnel
involved with your care.
- Receive complete information about your diagnosis, treatment
- Receive all the information that you need to give informed
consent for any proposed procedure or treatment. This information
shall include possible risks and benefits of the procedure or
treatment and of not receiving treatment.
- Refuse or change your mind regarding examination and treatment
and be told what effect these actions may have on your health.
- Refuse to take part in research. In deciding whether or not to
participate, you have the right to a full explanation.
- Privacy and confidentially of all information and records
regarding your treatment.
- Participate in all decisions about your treatment.
- Review your records with a clinician and obtain a copy of your
record for which the School of Dental Medicine can charge a
- Receive an itemized bill and explanation of all charges.
- Complain without fear of reprisals about the care and services
you are receiving.
- Have access to a Patient Advocate. Complaints made to the
Patient Advocate should be submitted in writing.
The dental care you will be receiving is being provided by
student dentists. These student dentists are in the process of
completing necessary academic as well as clinical requirements to
obtain a Doctor of Dental Surgery (DDS) degree. If for any reason
you have a concern or comment regarding the treatment that is being
provided, always consult with your student dentist and supervising
instructor first. If satisfaction is not received you have the
right to access our Patient Advocate.
The UB School of Dental Medicine’s Patient
Advocate can be reached by phone at (716) 829-2390 or by
mail --UB School of Dental Medicine; 325 Squire Hall; Buffalo, NY
14214-8006. Hours are by appointment. You may also contact the New
York State Department of Health’s Office of Health Systems