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  • Patient Authorization To Transfer Or Forward Dental Records

Get Patient Authorization To Transfer Or Forward Dental Records

CNA Sample Form: Patient Authorization to Transfer or Forward Dental Records I, , hereby request and authorize Patient or Guardian Name (please print) Practice or Dentist Name to turn over my dental.

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HUD-90106 2007 OHP 515 1997 OHA 9240 2018 DHS-3159 2009

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Yes. You are entitled to a copy of your records on paper or, if the dentist is required to comply with HIPAA, an electronic copy. The original records belong to the dental practice. You may also request a copy of the records be transmitted to another individual or dentist.

Yes, it is okay to switch dentists and regarding how often can you change your dentist, as many times as you want. It is okay to switch dentists and there are plenty of reasons to change dentists, none of which are wrong. It isn't so much of a process as it is just taking two or three steps.

There can be wide variations in prices for the same dental procedures from different providers. Individual dental practices set prices for their offices based on market prices and the costs of doing business. These costs include rent, salaries, insurance, supplies and more.

Dental records, in paper or electronic format, are considered Protected Health Information and are subject to the same Federal scrutiny for privacy and security as full medical records. Dental records contain minimal medical information.

The dentist owns the physical record of the patient and is the legal guardian of the chart and its complete contents, including radiographs. While patients do not have the right to possess their original record, they do have the right to see, review, and inspect their record, and to request and obtain a copy of it.

Contact your old dental office and inform them that you would like to transfer your records to your new dentist. Let them know whether you would like the records to be sent either digitally or via mail.

A patient's dental record shall be retained by a dentist for a minimum of five (5) years from the date of the last dental entry." Please be advised, however, that the ADA recommends patient dental records be kept indefinitely.

Your Right to Obtain Access to Your Dental Records Your original record belongs to your healthcare provider. Your healthcare provider cannot deny you a copy of your records if you haven't paid for the services you've received. However, they might charge a fee for preparing and mailing the records.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232