Emory University v. Porubiansky, 248 Ga. 391, 282 S.E.2d 903 (Ga. 1981)
Emory University v. Porubiansky is a leading Georgia Supreme Court decision at the intersection of torts and contracts, addressing whether a healthcare provider—here, a university dental clinic—can enforce a pre-treatment exculpatory clause to immunize itself from liability for future negligence.
Is a pre-treatment exculpatory clause by which a patient releases a university dental clinic and its personnel from liability for future negligence enforceable under Georgia law, or is it void as against public policy?
Exculpatory clauses are generally enforceable between private parties unless they contravene public policy. However, where the transaction involves a business or service affected with a strong public interest—such as medical and dental services—an advance release of liability for future negligence is void. Applying the public-interest framework exemplified by Tunkl v. Regents of the University of California, exculpatory clauses are invalid when (1) the service is suitable for public regulation; (2) it is of great importance to the public and often a practical necessity; (3) the provider offers the service to any member of the public or a large class; (4) the provider possesses decisive bargaining strength, employing standardized, adhesive contracts; (5) the consumer has no realistic option to pay more for protection; and (6) the consumer's person or property is placed under the provider's control, subject to the risk of carelessness. Informed consent to inherent risks of treatment is not consent to negligent care.
The exculpatory clause purporting to release Emory University and its dental clinic personnel from liability for future negligence is void as against public policy and unenforceable. Emory cannot rely on the release to bar the plaintiff's malpractice claims.
Emory University v. Porubiansky is a cornerstone Georgia case confirming that advance releases of liability for professional medical or dental negligence are void. The decision imports the Tunkl public-interest framework into Georgia law, provides a clear doctrinal line between informed consent and exculpation, and warns against adhesive, pre-injury waivers in essential services. For law students, the case is a prime study in how courts balance freedom of contract against tort-based safety norms, how public policy limits private ordering, and how professional standards intersect with patient rights in malpractice litigation.