DH Program Handbook

PARTICIPATION SIMULATED PATIENT CONFIDENCE ACTIVITIES

INFORMED CONSENT/ CONSENT TO PARTICIPATE

BSDH students are expected to participate in in-class and off-campus activities. Students must participate in mock lab, practice sessions, and practical exams as simulated patient and practitioner. Labs and practical testing may be photographed or videotaped for instructional, assessment or promotional purposes. Students enrolled in the BSDH Program will be required to sign an Informed Consent Form stating that they are aware of their rights, responsibilities, and risks associated with participating in the BSDH Program and in their clinical internship and dental specialty visits. In addition, clinical affiliates may require copies of the student’s HIV/AIDS, Prevention of Medical Errors, CPR certifications, as well as Medical History and Physical Examination results prior to attending a clinical internship. Consent is required before HU can release this information to the clinical site. Students will sign a Consent to Release Student Information

to Clinical Site Form during the BSDH Program orientation. Confidentiality of patients while in clinic must follow HIPAA privacy guidelines, which will be covered in the first session of the program. Any breach in confidentiality, especially as it relates to patient/client information, may result in dismissal from the BSDH Program and the University. During lab and clinical internships, students may be involved in developing educational material and completing assignments, which require the participation of actual patients in the clinical setting. This may involve videotaping, audiotaping, and/or photography. Students will sign a Student/Patient Consent to Participate Form which includes videotaping, audiotaping, and/or photography.

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Dental Hygiene Program 

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