Free Dental Record Form - New Zealand

Dental Record Form for New Zealand

Dental Record Form Template for New Zealand

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What is a Dental Record Form?

The Dental Record Form is a crucial document used in New Zealand dental practices to maintain comprehensive patient records in accordance with national healthcare regulations. This form is required for every patient and must be maintained throughout their course of treatment, serving as both a legal document and a clinical tool. It ensures compliance with the Health Information Privacy Code 2020, the Health Practitioners Competence Assurance Act 2003, and the Dental Council of New Zealand's requirements for patient record keeping. The form includes sections for patient information, medical history, treatment plans, progress notes, and consent documentation, making it essential for continuity of care and legal protection for both practitioners and patients.

What sections should be included in a Dental Record Form?

1. Patient Information: Basic patient details including full name, date of birth, contact information, NHI number, and emergency contact details

2. Medical History: Comprehensive medical history including current medications, allergies, chronic conditions, and previous surgeries

3. Dental History: Previous dental treatments, concerns, and oral health habits

4. Current Oral Assessment: Detailed chart of current oral condition including existing restorations, missing teeth, and periodontal status

5. Treatment Plan: Documentation of proposed treatments, priorities, and estimated costs

6. Progress Notes: Chronological record of all dental visits, treatments performed, and clinical observations

7. Consent Record: Documentation of patient consent for examinations, treatments, and information sharing

8. Payment Information: Financial arrangements, insurance details, and payment history

What sections are optional to include in a Dental Record Form?

1. Orthodontic Assessment: Specific section for patients requiring orthodontic treatment evaluation and planning

2. Pediatric Information: Additional information specific to child patients, including growth and development notes

3. Prosthetic Record: Detailed information for patients with dentures or other prosthetic appliances

4. Special Needs Assessment: Additional considerations and accommodations for patients with special healthcare needs

5. Radiograph Log: Tracking of x-rays taken and their findings

6. Sedation Record: For patients requiring sedation during treatment, including pre- and post-operative monitoring

What schedules should be included in a Dental Record Form?

1. Medical History Questionnaire: Detailed questionnaire for patient completion regarding medical history

2. Dental Charting Sheet: Visual representation of patient's dental status including tooth conditions and treatments

3. Treatment Consent Forms: Specific consent forms for various dental procedures

4. Privacy Policy Statement: Details of how patient information is collected, used, and protected

5. Fee Schedule: Current fee structure for dental services

6. Photography Consent Form: Consent for taking and using dental photographs for treatment planning and documentation

Authors

Alex Denne

Head of Growth (Open Source Law) @ ��Ƶ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant legal definitions

Clauses

Relevant Industries

Healthcare

Dental Services

Medical Records Management

Insurance

Public Health

Healthcare Administration

Healthcare Technology

Relevant Teams

Administration

Clinical Operations

Patient Care

Records Management

Compliance

Reception

Finance

Quality Assurance

Relevant Roles

Dentist

Dental Hygienist

Dental Assistant

Practice Manager

Dental Receptionist

Dental Specialist

Orthodontist

Oral Surgeon

Healthcare Administrator

Compliance Officer

Insurance Coordinator

Medical Records Manager

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Online Medical Consent Form

A New Zealand-compliant online medical consent form for documenting patient authorization for healthcare procedures and treatments.

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Generate a Bespoke Document

Download a Standard Template

What is a Dental Record Form?

What sections should be included in a Dental Record Form?

What sections are optional to include in a Dental Record Form?

What schedules should be included in a Dental Record Form?

Authors

Alex Denne

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