Dental Records Request Form for the United Kingdom

Dental Records Request Form Template for England and Wales

A Dental Records Request Form is a legal document used in England and Wales that facilitates patients' access to their dental records in compliance with data protection legislation. It serves as a formal mechanism for requesting dental records while ensuring proper authorization, identity verification, and compliance with UK GDPR and the Data Protection Act 2018. The form enables dental practices to process requests systematically while maintaining patient confidentiality and meeting regulatory requirements.

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What is a Dental Records Request Form?

The Dental Records Request Form is designed to streamline the process of accessing dental records while ensuring compliance with UK data protection regulations. This document is essential when patients need copies of their dental records for various purposes, including continuing care, insurance claims, or legal proceedings. The form includes necessary fields for patient identification, specific record requests, and proper authorization, adhering to the requirements set forth by the UK GDPR and Data Protection Act 2018. It serves as a standardized method for dental practices in England and Wales to process record requests efficiently while maintaining patient privacy and regulatory compliance.

What sections should be included in a Dental Records Request Form?

1. Patient Information: Full name, date of birth, contact details, NHS number (if applicable)

2. Request Details: Specific records requested, date range, format preference

3. Identity Verification: Requirements for proof of identity

4. Authorization: Patient signature and date, or authority to act on patient's behalf

5. Practice Details: Dental practice information and contact details

What sections are optional to include in a Dental Records Request Form?

1. Third Party Authorization: Used when someone other than patient requests records

2. Deceased Patient Section: Used for requests regarding deceased patients

3. Fee Information: If applicable, details of any charges

What schedules should be included in a Dental Records Request Form?

1. Identity Verification Checklist: List of acceptable ID documents

2. Privacy Notice: Information about how the request data will be processed

3. Third Party Authorization Form: Additional form for third party requests

Authors

Alex Denne

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

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Free to use

Relevant legal definitions

Clauses

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Healthcare
Medical Administration
Insurance
Legal Services

Relevant Teams

Administration
Medical Records
Compliance
Legal
Reception

Relevant Roles

Dental Practice Manager
Dentist
Dental Administrator
Compliance Officer
Medical Records Coordinator

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What is a Dental Records Request Form?

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What sections are optional to include in a Dental Records Request Form?

What schedules should be included in a Dental Records Request Form?

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