The Dental Release Form is a critical document required in Austrian dental practices before performing any significant dental procedures. This form, mandated by Austrian healthcare regulations and professional standards, serves multiple purposes: it documents informed consent from patients, outlines procedure details and risks, incorporates data protection requirements under the DSG, and provides legal protection for both healthcare providers and patients. The document should be used prior to any dental procedure that carries significant risks or requires specific patient consent. It typically includes patient information, procedure details, risk disclosures, consent declarations, and data processing notices, all structured to comply with Austrian healthcare legislation and professional dental practice requirements.
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1. Patient Information: Patient's full name, date of birth, contact details, and insurance information
2. Dental Provider Information: Name of dental practice, treating dentist, and professional registration details
3. Procedure Description: Detailed description of the planned dental procedure(s), including purpose and method
4. Risks and Complications: Disclosure of potential risks, side effects, and complications associated with the procedure
5. Patient Acknowledgment: Statement confirming that the patient has been informed about the procedure, risks, and alternatives
6. Consent Declaration: Express written consent for the procedure and authorization for emergency measures if needed
7. Data Protection Notice: Information about how patient data will be collected, stored, and used in compliance with DSG
8. Signature Block: Space for patient signature, date, and witness signature if required
1. Anesthesia Consent: Additional consent section for procedures requiring local or general anesthesia
2. Photo/Video Documentation: Optional consent for photographic or video documentation of the procedure
3. Insurance and Payment: Section detailing payment terms and insurance coverage when relevant
4. Alternative Treatments: Detailed description of alternative treatment options when multiple approaches are possible
5. Medical History: Detailed medical history section for complex procedures or high-risk patients
6. Post-Procedure Care: Instructions for post-procedure care and follow-up appointments
1. Procedure Details: Technical details of the specific dental procedure(s) to be performed
2. Cost Estimate: Detailed breakdown of expected costs and insurance coverage
3. Post-Treatment Care Instructions: Detailed written instructions for post-procedure care
4. Medical History Form: Comprehensive medical history questionnaire
Relevant legal definitions
Clauses
Relevant Industries
Healthcare
Dental Services
Medical Insurance
Legal Services
Healthcare Administration
Medical Devices
Relevant Teams
Legal
Compliance
Medical Records
Patient Administration
Quality Assurance
Insurance Processing
Clinical Operations
Patient Relations
Relevant Roles
Dentist
Dental Surgeon
Dental Practice Manager
Healthcare Administrator
Legal Compliance Officer
Medical Records Manager
Insurance Coordinator
Patient Relations Manager
Dental Assistant
Healthcare Quality Manager
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