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Dental Recordkeeping Guidelines - CDSBC

Dental Recordkeeping GuidelinesApril 2013 Contents 2 Introduction 4 Medical and Dental History 5 Confidentiality 6 Dental Examination 8 Informed Consent 9 Treatment Records 10 Electronic Recordkeeping 11 Financial Records 12 Drug Records 13 Ownership, Retention, Transfer and Disposition of Dental RecordsPractice Guidelines of the College of Dental Surgeons of BC ( CDSBC ) should be considered by all dentists and certified Dental assistants in the care of their patients. It is the responsibility of all practitioners to maintain accurate patient records as recommended in this document. It is important to note that these Guidelines may be used by CDSBC or other bodies in determining whether professional responsibilities and appropriate standards of practice have been , ethical and legal responsibilities dictate that a complete chart and record documenting all aspects of each patient s Dental care must be maintained.

Dental Recordkeeping Guidelines April 2013 Contents 2 Introduction 4 Medical and Dental History 5 Confidentiality 6 Dental Examination 8 Informed Consent 9 reatment T Records 10 Electronic Recordkeeping 11 Financial Records 12 Drug Records 13 Ownership, Retention, Transfer and Disposition of Dental Records Practice Guidelines of the College of Dental

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