Dental record authorization form 2025

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The dentist owns the physical record of the patient and is the legal guardian of the chart and its complete contents, including radiographs.
Once you have selected a new dentist, you can request that a copy of your records be transferred from your former dentist. You may be required to sign a release form from your former dental office and you may also be charged an administrative fee for having your records copied and sent to another dental office.
ing to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), permission to release the information can be obtained by having the patient sign an authorization form and adhering to the minimum necessary standard.
To transfer dental records, patients should contact their previous dentist and request a release form. Once signed, the old dentist will send the records to the new practice.
This is a service to the dentist or patient to determine prior to treatment what their plan will cover and reimburse for the course of treatment presented if the patient does two things: remains eligible. has not exhausted the plan maximum at the time of service.
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A signed consent form and verbal verification from your patient permit you to administer a dental treatment, procedure, or examination. These documents ensure that the patient understands the risks and benefits of the service, their rights to medical records, and other practice-specific policies.

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