Patient Privacy, Rights and Responsibilities

Ostrow aims to provide high-quality care and service to our patients. As an educational institution, we also provide training for future oral care professionals who are supervised by our expert faculty members.

PATIENT PRIVACY

Ostrow protects the privacy of your health information.

 

Learn about your Health Insurance Portability and Accountability Act (HIPAA) privacy rights by reviewing USC’s privacy practices.

PATIENT RIGHTS

YOU HAVE THE RIGHT TO:

 

An appointment with your student doctor in a timely manner

 

Considerate, respectful and confidential treatment

 

Complete and current information about your condition

 

Know in advance the type and expected cost of treatment

 

Expect dental team members to use appropriate infection and sterilization controls

 

Explanation of the prescribed treatment, treatment alternatives, the option to refuse treatment, the risk of no treatment and expected outcomes of these treatments, and be told, in language you can understand, the advantages and disadvantages of each

 

Ask your student doctor to explain all the treatment options regardless of your insurance benefit coverage or cost

PATIENT RESPONSIBILITIES

YOU HAVE A RESPONSIBILITY TO:

 

Keep your appointment, or reschedule in a timely manner

 

Be considerate and respectful to others, such as your student doctor and other patients

 

Provide complete and current information about your condition

 

Participate in your care and keep current on your cost of treatment

 

Dress and present yourself appropriately

 

Participate, as well as you are able, in prescribed treatment, carefully weigh the consequences of accepting or refusing treatment, and appropriately discuss changes that occur during your care

 

Make reasonable decisions within your and Ostrow’s limitations

For those assigned to a comprehensive care program, you have the responsibility to complete your treatment at Ostrow without receiving treatment elsewhere. Your acceptance of these Bill of Rights has been obtained by your signature on the Patient Understanding/Informed Consent as a part of the Application of Treatment.

 

 

Grievance Procedure

 

Ostrow does not discriminate based on race, color, national origin, sex, age or disability. We have adopted an internal grievance procedure providing for prompt and equitable resolution of complaints alleging any action prohibited by Section 1557 of the Affordable Care Act (42 U.S.C. 18116) and its implementing regulations at 45 CFR part 92, issued by the U.S. Department of Health and Human Services.

 

Any person who believes someone has been subjected to discrimination based on race, color, national origin, sex, age or disability may file a grievance under this procedure. Complaint forms are available online. Complaints must be filed within 180 days of the date of the alleged discrimination.

 

It is against the law for Ostrow to retaliate against anyone who opposes discrimination, files a grievance or participates in the investigation of a grievance.

 

 

REQUEST SERVICES

 

Select the appropriate phone number to request services in the following languages: Arabic, Armenian, Cambodian, Chinese, Hindi, Hmong, Japanese, Korean, Persian-Farsi, Punjabi, Russian, Spanish, Tagalog, Thai, Vietnamese