Dental Release Form

Dental Release Form Template for Austria

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Key Requirements PROMPT example:

"I need a Dental Release Form for my small private practice in Vienna, focusing on orthodontic procedures for minor patients, with specific sections for parental consent and photo documentation permissions."

Document background

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.

Suggested Sections

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

Optional Sections

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

Suggested Schedules

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

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

alex.den.21@genieai.co

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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Minor Travel And Medical Consent Form

An Austrian law-compliant form authorizing both travel and medical treatment for minors, meeting requirements of the Austrian Civil Code and EU regulations.

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Let's create your Dental Release Form

Authors

Alex Denne

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