Authorization for Agent to Consent to Dental Treatment of a Minor

This form allows for a non-legal guardian to consent to a minor patient’s treatment. It must be signed by a parent or legal guardian.

Employee Manual Resources

Create a personalized employee manual using an online tool or a sample employee manual.

Communicating Radiation Safety to Your Patients

Are you confident your patients understand the necessity of diagnostic X-rays? Here are some of the questions you may get from patients and guidance on how to best respond.

Planning for Growth with Marketing

Developing a successful marketing plan.

Clinical Chart Documentation Guidelines

This guide demonstrates patient record best practices. Thorough and accurate patient records are one of your most important tools for telling the story of what happens during treatment.

Lactation Accommodation: Sample Policy and Compliance Instructions

Both CA and federal law require you to reasonably accommodate employees who want to express breast milk at work. 

Cal/OSHA Regulation on Aerosol Transmissible Diseases

Compliance requirements for preventing transmission of aerosol transmissible diseases (ATDs) at health care facilities. 

Dental Board - Notice of Licensure

Must be accessible to public view on the premises where dental services are provided. Required information must be in at least 48-point type.

Sample Letter and Instruction to Inform Dental Plans of a Business Tax Identification Number Change

Use this sample letter and instruction to inform dental plans of a business Tax Identification Number change.

Understand Dental Benefit Plan Network Leasing/Sharing

This resource lists frequently asked questions around the practice of dental benefit plan network leasing/sharing. The resource will provide you with insight into the practice of PPO network buying and leasing/sharing.

Sample Letter to Employee - Pregnancy Disability Leave Only

Use this letter to document Pregnancy Disability Leave (PDL) leave agreements and establish the terms of leave.

Moneim, DDS, et al., vs. Delta Dental of California litigation

CDA recently became aware of a court ruling in the Moneim, DDS, et al., vs. Delta Dental of California litigation. It is our understanding that the court has ruled on some of the legal issues involved in this case, but this ruling is only part of the case as the court divided the case into 2 phases.

Why Do Dental Plans Conduct Credentialing

Dental plans conduct credentialing, which is the collection and verification of an applicant’s professional qualifications such as relevant training, licensure, certification, and/or registration to practice in a health care field and academic background, as well as an assessment of whether the practitioner meets certain criteria relating to professional competence and conduct.

January 1, 2022: E-prescribing required with limited exceptions

California prescribers are required to use electronic data prescribing for all prescriptions starting Jan. 1, 2022. Legislation, AB 2789, establishing this mandate was passed in 2018. For additional information on how to get started prescribing electronically and on the new rules, refer to Prescribing & Dispensing Q&A.

January 1, 2021 California Family Rights Act leave benefits become available to employees of small businesses of five or more employees

Employers of five or more employees must begin to provide up to 12-weeks of unpaid, job-protected leave to eligible employees. Employees who meet the eligibility requirements can take leave for the birth, adoption or foster care placement of a child or for a serious health condition of the employee or a specified family member. Employers should watch for updated notices and update practice leave policies. Check here later for additional resources.

January 1, 2021: The Paid Family Leave benefits expanding

The program is expanding to offer benefits to any employee who takes time off to attend to situations (qualifying exigencies) related to the covered active duty status of the employee’s spouse, registered domestic partner, child or parent who is a member of the U.S. Armed Forces. This new law does not create a right to take a protected leave of absence, merely the ability to collect PFL benefits (after Jan. 1, 2021) if the employee does take the time off.

Certification of Health Care Provider for Pregnancy Disability Leave, Transfer and/or Reasonable Accommodation

Form for use by employee requesting leave of absence from work under CFRA because of pregnancy, disability or reasonable accommodation.

New Patient Information Form Bundle

List of forms and information needing completion prior to the patient’s first appointment.

December 1, 2020 Small Business Hiring Tax Credit application portal opens today

The California Department of Tax and Fee Administration (CDTFA) began accepting applications today for a small business hiring credit against California state income taxes or sales and use taxes. Qualified business employers who employed 100 or fewer employees as of December 31, 2019; and suffered a 50% decrease or more in income tax gross receipts when comparing second quarter 2020 to second quarter 2019, may apply between Dec. 1, 2020 through Jan. 15, 2021 to receive a credit of $1,000 for each net increase in qualified employees from April 1, 2020 through June 30, 2020. The credit reservations will be allocated to qualified small business employers on a first-come, first-served basis.

Employers should be prepared with all the required information to start their online application. Visit www.cdtfa.ca.gov/taxes-and-fees/SB1447-tax-credit.htm for details.

October 12, 2020: Submit compliance report for amalgam separators

Dental practices, including those that are exempt or want to claim an exemption to the requirement to install an amalgam separator, must submit a one-time compliance report to their local control authority. The report is available in most areas from the local sanitation agency. If a sanitation agency does not have a pretreatment program, then the dental practice must submit the report to the California State Water Resources Board.

 

Informed Consent Forms

Sample informed consent forms to aid in the face-to-face informed consent discussion between the dentist and patient. Available in English, Chinese, Japanese, Korean, Russian, Spanish, Tagalog, Traditional Chinese, and Vietnamese.

September 19, 2020 - December 31, 2020 (unless FFCRA sunset extended) AB 1867 Overrides the FFCRA health care provider exemption.

The law includes language that any entity that employs health care providers or emergency responders that elect to exclude employees from emergency paid sick leave under the federal FFCRA health care provider exemption must provide the leave in California. As a best practice, all employers should comply with emergency paid sick leave under FFCRA.

Involuntary Separation Letter

Use this letter (or Notice to Employee Change in Relationship resource) to record and document the employer initiated termination of an employee.

Practice Policy Revision Employee Acknowledgment Template

Template for keeping employees informed of any policy changes and obtaining signed acknowledgements that employees read and understand new policies. 

Sample Voluntary Resignation Letter

Use this sample letter template to document an employee’s voluntary resignation. Employers must provide immediate written notice and final pay to the employee upon separation of employment.

Sample Notification Letter to Dental Board Regarding Dentist's Death or Incapacity

Certain non-dentists may, upon a dentist's death or incapacity, contract with another licensed dentist or dentists to continue his or her dental practice for a period not exceeding 12 months if certain conditions are met. One of the conditions is to notify the Dental Board.

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