Maryland Code § HO-4-403

Section HO-4-403
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(a) The work authorization required by § 4-402 of this subtitle for dental
laboratory work shall:
(1) Be on the form that the Board requires;
(2) Be signed by a licensed dentist who requests the work; and
(3) Contain the information required by this section.
(b) The work authorization shall be prepared in duplicate and contain:
(1) The name and address of the dental laboratory to do the work;
(2) Identification of the patient by name or number;
(3) The date on which the work authorization form was completed;
(4) A description of the work to be done, including diagrams if
necessary;
(5) A specification of the type of dental materials to be used; and
(6) The name and license number of the dentist who requests the
work.
(c) A dental laboratory named in a work authorization may subcontract
dental laboratory work, if that dental laboratory:
(1) Completes in duplicate the subcontracted work authorization
form that the Board requires; and
(2) Complies with the record keeping requirements of § 4-404 of this
subtitle.
(d) The Board shall publish:
(1) An approved standard work authorization form; and
(2) An approved standard subcontracted work authorization form
that is of a color different from the standard work authorization form.
(e) A dental laboratory in this State may do dental laboratory work on the
request of a dentist licensed and practicing in any other state or a foreign country if
the request:

(1) Is on the form that the Board requires or a reasonably equivalent
form; and
(2) Otherwise meets the requirements of this subtitle.

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