NAME AND DATE OF BIRTH; and
(ii) disclose the dental care provider's identity,
geographic location, license number and dental specialty
or applicable credentials.
(2) Obtain informed consent regarding the use of
teledentistry technologies from the individual or other
person acting in a dental care decision-making capacity for
the individual. The individual or other person acting in a
dental care decision-making capacity, including the parent or
legal guardian of a child in accordance with the act of
February 13, 1970 (P.L.19, No.10), entitled "An act enabling
certain minors to consent to medical, dental and health
services, declaring consent unnecessary under certain
circumstances," has the right to choose the form of service
delivery, which includes the right to refuse teledentistry
services without jeopardizing the individual's access to
other available services.
(3) Provide PERFORM an appropriate problem-focused
CLINICAL examination or assessment using teledentistry
technologies. The following apply:
(i) The dental care provider may utilize interactive
audio without the requirement of interactive video if it
is used in conjunction with store-and-forward technology
and, after access and review of the patient's medical
records, the dental care provider determines that the
dental care provider is able to meet the appropriate
LEGAL standard of care.
(ii) If the dental care provider utilizes
interactive audio without interactive video, the dental
care provider shall inform the patient that the patient
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