Ala. Admin. Code r. 270-X-2-.22

Current through Register Vol. 43, No. 1, October 31, 2024

Section 270-X-2-.22 - Patient Records

(1) A dentist shall maintain complete records on all patients and said records may include such information as the dentist deems appropriate but shall at a minimum include the following:

(a) Patient's first and last name, address, and contact information; and,

(b) Current health history; and,

(c) The date treatment rendered. The type of treatment rendered. The reason for the treatment rendered and the name and/or initials of treating dentist and/or dental hygienist; and,

(d) Records of financial transactions should be retained or recorded; and,

(e) Applicable radiographs; and,

(f) Correspondence between treating dentist and any prior and subsequent dentists, physicians and/or referral sources/recommendations; and,

(g) Pathology reports.

(2) When appropriate, records may also include but not be limited to:

(a) Treatment plan(s); and,

(b) Informed consent(s).

(3) Records may be maintained in physical or digital format and may be disposed of in accordance with current American Dental Association (ADA) guidelines.

Ala. Admin. Code r. 270-X-2-.22

New Rule Filed: March 15, 2006; effective April 19, 2006. Amended: Filed February 22, 2012; effective March 28, 2012. Amended: Filed April 17, 2013; effective May 22, 2013.

Author: James S. Ward

Statutory Authority:Code of Ala. 1975, § 34-9-43.