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Client Bill of Rights New Directions to USI Campus University
The faculty and students of the University
of Southern Indiana Dental Hygiene Pro-
From I- 62 (Lloyd Expressway) take University
of
gram are here to provide you with compre-
hensive dental hygiene care. As a client in Parkway Exit. Turn south at top of exit. Southern Indiana
our clinic you have the right to expect:
Take University Parkway to entrance of USI
To be treated with respect and consid- Campus, turn right on first road (Clarke Lane)
eration without discrimination. just before the Health Professions Center.
(Star on Building!)
Dental Hygiene
Confidentiality of all information
related to your care.
A thorough assessment of your needs.
Park in lot behind from the HP Center.
Clinic
To receive complete and current Enter through the double doors at the NW corner
information about your oral health of building. The Dental Hygiene Clinic is on the
condition and treatment. left of entrance.
To be treated as a partner in care, par-
ticipating in goal setting and planning N
of treatment including the opportunity
to discuss treatment, treatment alter- University
natives, and expected outcomes of Parkway
treatment with the supervising dental
hygiene faculty and the dental hygiene
sville
student. Evan
n
To be informed of all aspects of your Mt. Ve
rno
care and sign an informed consent.
To receive treatment that meets the
standard of care in the dental hygiene College
profession which includes dental hy-
giene care based on your individual of
needs. Nursing
To be taught how to achieve and main-
tain your oral health. and
Reasonable continuity of care and
completion of treatment. Health Professions
Appropriate and timely referrals for 8600 University Blvd.
other needed services.
The University of Southern Indiana Room 1040
Dental Hygiene Program to comply
with the infection control guidelines Evansville, IN 47712
mandated by the Occupational Safety
and Health Administration (OSHA) and
recommended by the Centers of Dis-
ease Control and Prevention (CDC).
812.464.1706
Appointment Date
________________________
Dental Hygiene Clinic Fees Did you know…
Clinic Dental Hygiene Treatment
Adults $35.00 Periodontal disease, a serious form of
Thank you for your interest in Seniors
becoming a client in the University of gum disease, may be associated with greater
Southern Indiana Dental Hygiene Age 60 & above $15.00 risks for heart disease and strokes as well as
Clinic. The Dental Hygiene Clinic Children diabetes management?
offers dental hygiene services to adults Age 10 & Under $10.00 Bacteria from periodontal disease may
and children of all ages. All services enter the blood stream causing blood clots
are performed by students and are Age 11—17 $20.00
supervised and evaluated by dental Radiographs and/or sealants
that clog the arteries and cause a build-up of
hygiene faculty. fatty deposits inside the heart. Periodontal
are included in the above fees.
disease may also make diabetes harder to
You can plan on approximately control by causing blood sugar levels to rise.
3 1/2 hours being devoted to your Radiographs And Sealants Only If you have heart disease or a heart condition,
care. Please keep this in mind
When requested by a Dentist taking care of your teeth and gums is very
when making your appointment.
Upon completion of treatment, we and NO dental hygiene treatment important, not only for your smile, but, for
recommend you also make an is provided—fees are as follows: your heart as well.
appointment with your family dentist ( American Dental Association; Cigna Dental)
Full Mouth Series $25.00
for an examination and any dental
treatment needed. Panoramic $25.00
Bitewings $15.00
Oral Cancer strikes an estimated 34,360
Americans each year?
Appointment Times Sealants $ 6.00 Ea.
On average, only half of those diagnosed
with this disease will live more than 5 years.
Fall Semester (Sept—Dec)
The best way to prevent oral cancer is to
Payments avoid tobacco and alcohol and have regular
Mondays and Wednesdays
8:30 am and 1:00 pm Clinic fees are payable on the day dental examinations.
treatment is initiated. The following are (American Cancer Society)
Monday through Thursday accepted forms of payment:
5:30 pm Cash Check So...brush, floss and see your
Master Card Visa dentist hygienist regularly!
Spring Semester (Jan –Apr) The clinic does not accept postdated
You’ll have a healthier life and
checks or provide insurance forms.
Monday through Thursday smile!
8:30 am 1 :00 pm 5:30 pm
Medical Evaluation
The Dental Hygiene Program at the University of Southern Indiana
Call 812-464-1706 If a client has a medical condition which is accredited by the Commission on Dental
requires consultation with a physician,
to schedule your Accreditation of the American Dental Association, a specialized
treatment may be delayed until written accrediting body recognized by the Council on
appointment! approval for treatment is received from Postsecondary Accreditation and by the United States Department
your physician. of Education.
