HIPAA Safeguards

A discussion on HIPAA safeguards – what administrative, technical and physical safeguards are required to be implemented and how to determine if a safeguard is reasonable and appropriate.

HIPAA Business Associate Agreement

Describes HIPAA business associates and the requirement for covered entities such as dental practices to have agreements with them. A sample business associate agreement is included.

Miscellaneous Cal/OSHA Regulations

An overview of other Cal/OSHA regulations for which dental practices have been cited for violating.

Hazard Communication Pictograms Poster

A poster guide to the pictograms and hazard statements required by the Cal/OSHA Hazard Communication regulation.

Hazard Communication in the Dental Practice - Training for New Employees (PowerPoint)

Use CDA’s 45-minute PowerPoint presentation to provide the Cal/OSHA-required training on hazardous materials to new dental staff. The training covers hazard identification, protective and first-aid measures and more.

Sample Patient Testimonial Authorization Form

Use this form to obtain a patient’s written permission to display a testimonial and/or use the testimonial for future marketing efforts.

Sample Patient Photograph Authorization Form

Form to gain consent when using patient photos in your practice marketing materials.

Provider Biography Template

Template for writing a Provider Biography that can be used to market the practice or introduce a new provider.

Patient Testimonials

This checklist provides an outline of the steps to take when collecting patient testimonials and conducting patient surveys.

Online Review Generation Best Practices

Best practices to manage online reviews and social media accounts.

Social Media Marketing for Your Practice

Suggestions on Marketing your Dental Practice through social media.

Receipt of Unsolicited Products or Services

Did you receive products you did not order, and then were invoiced for them? Have you received an invoice for advertising you did not order? Use this sample letter to notify the company that state and federal law allow you, the recipient, to use or dispose of the product in any manner you see fit and that you may take action, as allowed by law, if the company continues to seek payment for the product or unsolicited service.

School Absence Release Form

Notification to School Administrators regarding California Education Code to excuse student from absence due to medical, dental, optometrical and chiropractic treatment. Includes sample of School Excuse Note.

Patient Personal Information Form

This form is designed for internal office use only. It should not be shared with the patient and is intended to provide the practice with a way to document personal information about the patient to help refresh staff members’ minds prior to the patient visiting the practice.

Patient Acknowledgements and Authorizations

This resource provides sample language that a dental practice can use for obtaining required and recommended acknowledgements and consents from patients.

New Patient Information Collection

Information a dental practice should collect when creating a New Patient Form during the initial new patient phone call.

Managing Emergency Patients When Your Office is Closed

Dentists are obligated to make reasonable arrangements for the emergency care of patients of record. Dental benefit plans require the same of contracted providers. Failure to make such arrangements may result in charges of patient abandonment. Resource in

Divorced Parents Sample Letter (Existing Minor Patients of Record)

Use for existing minor patients whose legal guardians of record have experienced a relationship change (divorce). Send a letter to both parents; responses will help you determine if you need to update the patient information and patient financial agreement.

Diagnostic X-rays are Required Letter

Sample letter to patient discussing the necessity of radiographs. Courtesy of TDIC.

Health History Form: Dental

Form designed for a provider who wishes to collect more in-depth dental health history that is not covered on the Confidential Health History Form, as well as assess the patient’s oral health and/or cosmetic concerns.

Credit Card Chargeback and Release of Patient Information

A credit card company may request information when a patient disputes a charge to a dental practice. Use these resources to respond to the company.

Authorization for a Caretaker to Accompany a Minor Patient

Form to be completed by legal guardian to authorize a caretaker (non legal guardian) to accompany a minor to his/her dental appointment. 

Access to Patient Records

This training guides staff through the state and HIPAA requirements for providing access. Instructions on staff presentation are included.

Leasing Commercial Property

Considerations when leasing office space. Contracts will include both assets and liabilities that will govern your tenancy, poorly negotiated leases could have negative financial impact on a practice.

Hepatitis B Vaccination: Requirement and Recommendations

Overview of requirement and related CDC recommendations. Cal/OSHA requires employers to offer certain employees the hepatitis B vaccination series and post-vaccination testing.

Tips for Negotiating Service Provider Contracts

Best practices for working with outside vendors for your business. Dentists should analyze contracts closely during the negotiation process to make sure they know exactly what they are committing to.

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