Dental Records Release Form (HIPAA)

A dental records release form is a document that authorizes a health care provider to use or disclose a patient’s dental records. The form contains details like the types of records allowed for release, how the patient’s information can be used, and when the authorization expires.

Dental Records Release Form (HIPAA)

A dental records release form is a document that authorizes a health care provider to use or disclose a patient’s dental records. The form contains details like the types of records allowed for release, how the patient’s information can be used, and when the authorization expires.

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Last updated April 4th, 2024

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A dental records release form is a document that authorizes a health care provider to use or disclose a patient’s dental records. The form contains details like the types of records allowed for release, how the patient’s information can be used, and when the authorization expires.

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HIPAA Compliance

Any dental office categorized as a covered entity under the Health Insurance Portability and Accountability Act (HIPAA) can use this release to ensure compliance with HIPAA regulations regarding the privacy and security of patients’ protected health information.

How a Dental Records Release Works

Before a dental office can share or use private medical records, patients must complete a release form to grant them permission . The form will outline the following:

Once the patient completes and signs the release form, the dental office can release the records according to the written instructions provided.