Dental Issue Fact Sheets and Sample Forms
The following fact sheets are offered by the Louisiana Dental Association as a public service to members of the Louisiana dental profession and are presented for informational purposes only. Information herein is not offered as legal advice, nor is it intended to be a substitute for legal advice. If you have specific legal questions concerning your own circumstances, LDA recommends that you consult your own legal counsel. Although reasonable and diligent efforts have been made to ensure the accuracy of the content provided, LDA makes no warranties thereof and is not responsible for any loss, actual or potential, resulting from reliance on the content of this message.Sample Forms:
- Fortress Risk Management Program (Informed Consent) - information and sample forms provided by Fortress, the LDA's endorsed professional liability insurer***
- Notice of Privacy Practices for Protected Health Information (provided by Fortress)
Dental Issue Fact Sheets:
- Dental Practice Ownership by the Spouse of a Deceased or Disabled Dentist
- Disclosure of Usual and Customary Fees
- Freedom of Choice
- Insurance Coverage for Cleft Lip/Palate
- Patients’ Access to Medical/Dental Records
- Patient History and Examination by Licensed Dentists
- Prompt Payment
*** Fortress Insurance Company is a professional liability company created by dentists, for dentists. Fortress has developed a comprehensive risk management program uniquely designed for the dental office. Their goal is to educate dentists and their staff about current risk management techniques that enhance patient care and help reduce liability exposure. To learn more about how Fortress Insurance Company can protect you and your practice, call Stormy Blair at Brown & Brown of LA Association Services Professionals at 985-674-3886 or 1-888-503-5547, or email stormy.blair@bbrown.com. The professionals at Brown & Brown, the LDA endorsed professional liability insurance marketing agency, have been serving the insurance needs of dentists throughout the South for over 25 years. Located in Mandeville, La., the agency staff combines prompt, professional service with the personal care their clients deserve.
