Duplication of Records Policy *(Free Form!)* $0.00 States the dental office policy for the Duplication of Records upon patient request, including fees for duplication, in compliance with Rule 108.8 of the TSBDE Rules, which states in part: "A dentist shall furnish copies of dental records to a patient who requests his or her dental records. Requested copies including radiographs shall be furnished within thirty (30) days of the date of the request, provided however, that copies need not be released until payment of copying costs has been made."	Consumer Information for Display *(Free Form!)* $0.00 Complies with TSBDE Rule 108.3, "Consumer Information," which states as follows: "(a) A Texas dentist practicing dentistry in Texas shall notify dental patients that complaints concerning dental services can be directed to the Board by providing the name, mailing address, and telephone numbers of the Board. Such notification must be accomplished by one or more of the following three methods: (1) On a sign prominently displayed in the place of business of an individual or entity regulated under the Dental Practice Act; or, (2) On each registration form, application, brochure, or written contract for services of an individual or entity regulated under the Dental Practice Act; or, (3) In a bill of service provided by an individual or entity regulated under the Dental Practice Act. (b) Signs, if utilized for such notification, may be obtained from the Board office at cost. Signs shall be exhibited in the dental office in plain view of patients."
Maintenance of Records Agreement $10.00 Complies with TSBDE Rule 108.8, Records of the Dentist, which states in part: A dentist who leaves a location or practice, whether by retirement, sale, transfer, termination of employment or otherwise, shall either maintain all dental records belonging to him or her, make a written transfer of records to the succeeding dentist, or make a written agreement for the maintenance of records, and the State Board of Dental Examiners shall be notified within fifteen (15) days of any such event, giving full information concerning the dentists and location(s) involved. A maintenance of records agreement shall not transfer ownership of the dental records, but shall require: that the dental records be maintained in accordance with the laws of the State of Texas and the Rules of the State Board of Dental Examiners; and that the dentist(s) performing the service(s) recorded shall have access to and control of the records for purposes of inspection and copying. A transfer of records may be made by agreement at any time in an employment or other working relationship between a dentist and another entity. Such transfer of records may apply to all or any part of the dental records generated in the course of the relationship, including future dental records.	TSBDE Letter: Patient Death/Injury/Hospital $10.00 Complies with Texas State Dental Board Rule 108.6, “Report of Patient Death or Injury Requiring Hospitalization,” which states as follows: A dentist must submit a written report to the SBDE as provided below: (1) The death of a dental patient which may have occurred as a consequence of the receipt of dental services from the reporting dentist must be reported within 72 hours of the death, or such time as the dentist becomes aware or reasonably should have become aware of the death; (2) The hospitalization of a dental patient, as a possible consequence of receiving dental services from the reporting dentist, must be reported within 30 days of the hospitalization or such time as the dentist becomes aware of or reasonably should have become aware of the hospitalization. For purposes of this section, “hospitalization” shall be defined as an examination at a hospital or emergency medical facility that results in an in-patient admission for the purpose(s) of treatment and/or monitoring.
Chart Audit / Inventory Rule 108.8 Compliance $10.00 CHART AUDIT & INVENTORY - TEXAS SBDE RULE 108.8 Compliance - Ensures that your dental chart is in full compliance with the Texas State Board regulatory requirements for the contents of a patient chart, including suggestions for what is expected although not stated in the Board rules.	Patient Authorization to Release Dental Records $10.00 Patient Authorization to Release Dental Records - Complies with federal HIPPA restrictions on the release of patient health information. Also, in Texas, is compliant with TSBDE Rule 108.8, which states that a patient is entitled to a complete copy of their dental records upon request.