Written review of medical history, like treatment consent, can seldom be over-documented. This is another issue where state boards may differ.
As a general rule, I suggest you and your staff update patient medical histories prior to performing any clinical procedure. This also applies to orthodontists, who often believe they are exempted because they don't perform invasive procedures.
Keeping updated medical histories can help prevent terrible medical tragedies. Know your patients' health issues.
Make today your greatest ever!
*** Duane Tinker ***
Chief Compliance Coach & Consultant
Dental Compliance Specialists
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Dental Compliance Specialists helps make dental offices safer for patients, dentists and their employees. We help our clients develop and maintain their compliance programs including OSHA/Infection Control, HIPAA, DEA regulations and prescribing practices, Radiation Safety, OIG/Medicaid Compliance, Record Auditing, and more by providing actionable systems, easy-to-use tools, robust training, and accountability. Most of our clients have never been in trouble and want to keep it that way. Sometimes, though, dentists call when they are in trouble. In either case, we are there to make a meaningful difference. If you need help call us at 817-755-0035.
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