(1) Each person who receives a dental charting, or the parent or legal guardian of the person receiving dental charting, by a dental hygienist pursuant to Florida Statutes § 466.0235, and this rule shall receive a dental charting form that contains the following information and the patient shall acknowledge the following information before receiving the dental charting procedure:

Terms Used In Florida Regulations 64B5-16.0075

  • Guardian: A person legally empowered and charged with the duty of taking care of and managing the property of another person who because of age, intellect, or health, is incapable of managing his (her) own affairs.
    (a) The patient’s name and the names of the patient’s parent or legal guardian if the patient is a minor.
    (b) The patient’s address or the address of the patient’s parent or legal guardian if the patient is a minor.
    (c) The date of the dental charting.
    (d) The name, license number, and place of employment of the dental hygienist performing the dental charting.
    (e) The location where the dental charting is being performed.
    (f) A statement that the purpose of dental charting is to collect data for use by a dentist at a prompt subsequent examination.
    (g) A statement that the dental charting performed is not a substitute for a comprehensive dental examination.
    (h) A statement emphasizing that diagnosis of caries, soft tissue disease, oral cancer, temporo-mandibular joint disease (TMJ), and dentofacial malocclusions can only be completed by a dentist in the context of delivering a comprehensive dental examination.
    (i) A statement emphasizing the inherent limitations of dental charting and encouraging the patient to receive a complete examination by a dentist in rendering a professional diagnosis of the patient’s overall health needs.
    (j) Before performing periodontal probing as part of a dental charting, dental hygienists shall include a written statement on the dental charting form that the patient has received medical clearance from a physician or dentist.
    (2) Dental hygienists charting and collecting data for epidemiological surveys for public health may use the dental charting forms without identifying patient information or the name, license number, and place of employment of the dental hygienists or dentists.
Rulemaking Authority 466.004(4), 466.0235 FS. Law Implemented Florida Statutes § 466.0235. History-New 12-26-06, Amended 6-11-07, 7-1-12, 1-27-15.