Can You Mandate YOUR Patients be Vaccinated to be Seen?

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Recently, a dentist asked us our thoughts on whether she can mandate her patients be vaccinated for COVID-19 as a condition to be seen/treated. The gist of the question was whether there were legal or regulatory prohibitions against pulling the trigger.

As long as your care is considered elective, and the patient is not in the middle of a treatment plan, and does not have a medical reason or sincerely held religious belief which allows them to forego vaccination, a dentist can probably implement that policy.

Do not be shocked, though, if someone tries to challenge that position. Even if you are on the right side of the law, you can still be involved in a legal dispute. Recently, Methodist Hospital in Houston made its employees get vaccinated. ~150 resisted. They were fired. The employees sued. They lost. So Methodist Hospital prevailed.

Dentists are generally not legally obligated to accept unvaccinated patients into their care, nor are they required to retain them. Unvaccinated individuals are currently not a “protected class” under federal or state law, so practitioners are not prohibited from dismissing them unless the patient has some disability or religious belief that puts them in a protected class. So long as there is no other protected classification in which the patient falls, and the dentist gives adequate notice and an opportunity to find other dentists, a dentist may choose to not treat unvaccinated patients.

Interestingly, the American Dental Association wrote about the ethics of refusing to treat unvaccinated patients. This white paper appeared to be published earlier this year when sentiment and mood on this topic were different. It’s not entirely clear whether the ADA would provide the same advice today.

So, can a dentist refuse to treat unvaccinated patients?

With the caveats above, the answer seems to be yes.

Should a dentist refuse to treat unvaccinated patients?

Well, that’s why we have a comment box. For your thoughts. Click to jump to the comment box and join the discussion.

Medical Justice provides consultations to doctors facing medico-legal obstacles. We have solutions for doctor-patient conflicts, unwarranted demands for refunds, online defamation (patient review mischief), meritless litigation, and a gazillion other issues. We also provide counsel specific to COVID-19. If you are navigating a medico-legal obstacle, visit our booking page to schedule a consultation.


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Jeffrey Segal, MD, JD

Chief Executive Officer and Founder

Dr. Jeffrey Segal, Chief Executive Officer and Founder of Medical Justice, is a board-certified neurosurgeon. Dr. Segal is a Fellow of the American College of Surgeons; the American College of Legal Medicine; and the American Association of Neurological Surgeons. He is also a member of the North American Spine Society. In the process of conceiving, funding, developing, and growing Medical Justice, Dr. Segal has established himself as one of the country’s leading authorities on medical malpractice issues, counterclaims, and internet-based assaults on reputation.

Dr. Segal was a practicing neurosurgeon for approximately ten years, during which time he also played an active role as a participant on various state-sanctioned medical review panels designed to decrease the incidence of meritless medical malpractice cases.

Dr. Segal holds a M.D. from Baylor College of Medicine, where he also completed a neurosurgical residency. Dr. Segal served as a Spinal Surgery Fellow at The University of South Florida Medical School. He is a member of Phi Beta Kappa as well as the AOA Medical Honor Society. Dr. Segal received his B.A. from the University of Texas and graduated with a J.D. from Concord Law School with highest honors.

In 2000, he co-founded and served as CEO of DarPharma, Inc, a biotechnology company in Chapel Hill, NC, focused on the discovery and development of first-of-class pharmaceuticals for neuropsychiatric disorders.

Dr. Segal is also a partner at Byrd Adatto, a national business and health care law firm. Byrd Adatto was selected as a Best Law Firm in the 2021 edition of the “Best Law Firms” list by U.S. News – Best Lawyers. With decades of combined experience in serving doctors, dentists, and other providers, Byrd Adatto has a national pedigree to address most legal issues that arise in the business and practice of medicine.

5 thoughts on “Can You Mandate YOUR Patients be Vaccinated to be Seen?”

  1. If more took a stand then perhaps the unvaccinated would reconsider. We need to make it harder for them. I am vaccinated and treat covid patients in Florida and got infected last week. Mild case but out of work for a week due to others ignorance

  2. At this point, it’s irrelevant whether our patients are vaxed or not. The vaxed can contract the delta variant and be contagious just like the unvaxed. I’ve said this from the beginning, and it’s true: insofar as covid infection, it’s not a matter of if, but when.

  3. I am a cosmetic surgeon. We do not require that our elective patients be vaccinated, but we are strict about masks and have a large office that facilitates social distancing. All of my staff are vaccinated. We do require proof of vaccination AND a negative recent (1 wk) COVID test before proceeding with any elective surgery.

  4. There is evidence that vaccinated persons carry a viral load 250 times as high as unvaccinated persons. So policy does not make sense. What does work is dilute povidone mouth rinse and nasal swab.

  5. Dilute povidone mouth rinse preop does certainly help, as does a high speed suction right at the source of water spray. A medical-grade air purifier in the room to filter out virus particles also goes a long way to our peace of mind. Nasal swab? As in a rapid test? This is only about 50% accurate, so it’s a crap-shoot. What also helps is pre-screening the patients and checking their temperature as they come in. In my office, we have patients hand sanitize when they walk in, again before they leave the operatory, especially if they put their hands in their mouth, and they spray the bottoms of their shoes with hydrolyzed water as they come in so as not to track anything in with them. And we stopped having patients spit in a cuspidor (20% of whom missed and spit all over the floor!) They now spit into a cone attached to the high-speed suction. Suggestions.
    And, if they are not vaccinated, my assistant and I will give them all sorts of reasons to get a vaccine. Some people just refuse it – without a medical or religious reason. Just because.

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Jeffrey Segal, MD, JD
Chief Executive Officer & Founder

Jeffrey Segal, MD, JD is a board-certified neurosurgeon and lawyer. In the process of conceiving, funding, developing, and growing Medical Justice, Dr. Segal has established himself as one of the country's leading authorities on medical malpractice issues, counterclaims, and internet-based assaults on reputation.

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