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.Okla. Admin. Code § 317:30-5-708
Adopted by Oklahoma Register, Volume 37, Issue 24, September 1, 2020, eff. 9/14/2020Amended by Oklahoma Register, Volume 40, Issue 6, December 1, 2022, eff. 11/4/2022Amended by Oklahoma Register, Volume 40, Issue 24, September 1, 2023, eff. 9/11/2023