Dental Records Release Form

What is a dental records release form?

A dental records release form is an important document that allows patients to share their information with a new dentist. The dentist who received these records has to use the dental records release form to acknowledge the information received and they also have to agree to provide the information, in the same manner, it was received. This is done to protect the privacy of the patient and only release the information that is required. It ensures that the patient’s information is only released to the authorised party. The patients must carefully review the form and ensure that they fully comprehend the purpose of releasing their dental records and the implications of the same. 

Why is a dental records release form important? 

This form is important for a variety of reasons: 

• It protects the privacy of the patient by releasing the records to only authorised individuals or organisations 
• It ensures the patient’s consent, thereby avoiding the unauthorised release of records 
• It specifies the information that is being requested, thereby protecting the confidentiality of information of the concerned patient 

What details does a dental records release form include?

A dental records release form typically contains: 

• Name and contact information of the patient 
• Details of the third party requesting the records: name, contact information 
• Details of the records being requested: X-Rays, treatment plans, etc. 
• Reason behind request: insurance claim, second opinion, legal purposes 
• Date of the request 
• Signature of patient/legal representative
• Date of signature 

What are the legal requirements of a dental records release form? 

While the legal requirements of this form depend on the jurisdiction in which the form is being used, there are certain general requirements that apply across areas and are applicable for all dental facilities. The form must comply with the laws of HIPAA, to protect patient health information. Also, patients must carefully review the form before signing it to avoid any legal disputes or misunderstandings. In case they have questions regarding the information they are releasing, they must speak with the dental provider or seek legal advice. 

What is the validity of a dental records release form? 

In general, such forms are valid as long as they contain the patient’s signature. However, in some cases, the form might include a certain date or might be for a specific time period, say a year. Post the mentioned date, the form will be considered invalid, and to access the information, a new form will have to be filled out.