Oklahoma Administrative Code
Title 317 - Oklahoma Health Care Authority
Chapter 30 - Medical Providers-Fee for Service
Subchapter 5 - Individual Providers and Specialties
Part 80 - MOBILE AND PORTABLE DENTAL SERVICES
Section 317:30-5-708 - Parental consent requirements
Current through Vol. 42, No. 1, September 16, 2024
Individual providers at a mobile or portable dental unit shall not perform any service on a minor without having obtained, prior to the provision of services, a signed, written consent from the minor's parent or legal guardian, that includes, at a minimum, the:
(1) Name of the dental group and/or dentist providing the dental services at the mobile and/or portable dental unit;
(2) Permanent business mailing address of the dental group and/or dentist providing the dental services at the mobile and/or portable dental unit;
(3) Business telephone number of the dental group and/or dentist providing the dental services at the mobile and/or portable dental unit. This telephone number must be available for emergency calls;
(4) Full printed name of the child to receive services;
(5) Child's SoonerCare Member ID number; and
(6) An inquiry of whether the child has had dental care in the past twelve (12) months and if the child has a dental appointment scheduled with his/her regular dentist. If applicable, parent should list the name and address of the dentist and/or dental office where the care is provided.
