Dental Legal & Compliance
Compliance and records forms cover acknowledgements, authorizations and records requests that practices keep on file. Below are 11 dental legal & compliance templates you can preview, edit and brand before sharing with patients.
Dental Legal & Compliance templates
HIPAA Acknowledgment FormPrivacy practices notice and patient acknowledgement form for HIPAA compliance.7 fieldsHIPAA Dental FormDental-specific HIPAA authorization for use and disclosure of health information.8 fieldsRecords Release FormPatient authorization to release dental records to another provider or third party.9 fieldsRecords Request FormFormal request to obtain dental records from a previous provider.8 fieldsDental Marketing ConsentPatient consent for use of photos, testimonials, and reviews in marketing.7 fieldsTelehealth Consent FormConsent for virtual dental consultations covering technology and privacy.8 fieldsCOVID-19 Screening FormPre-visit COVID-19 symptom screening and exposure questionnaire.10 fieldsInfection Control AcknowledgmentPatient acknowledgment of office infection control and sterilization protocols.6 fieldsRelease of Liability FormLiability waiver for specific procedures or against-medical-advice decisions.8 fieldsMinor/Guardian Consent FormLegal guardian authorization for dental treatment of a minor child.9 fieldsDental Records Release FormAuthorization to release dental records to another provider or third party with record type selection.9 fields
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Templates are starting points. Practices should review each form against their applicable professional, regulatory and legal requirements before using it with patients.