Transcription of Dental Record Keeping Guidlines
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Dental Record Keeping Guidlines
1 GUIDELINESA pproved by Council November 2019 This document replaces the version published in May Recordkeeping The guidelines of the Royal College of Dental Surgeons of Ontario contain practice parameters and standards that should be considered by all Ontario dentists in the care of their patients. These guidelines may be used by the College or other bodies to determine if appropriate standards of practice and professional responsibilities have been maintained. CONTENTSINTRODUCTION ..2 USE OF THIS DOCUMENT ..2 RECORDKEEPING BASICS ..2 GENERAL RECORDKEEPING PRINCIPLES ..3 GENERAL PATIENT INFORMATION ..3 MEDICAL HISTORY ..3 Follow-Up Questions and Review of Systems ..4 Recall History.
Guidelines to indicate when professional judgment is expected to be used . Recordkeeping Basics. In dentistry, a record is any item of information, regardless of form or medium, created or received by a dentist, dental office or health profession corporation, and maintained to provide care to patients and conduct business .
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