HARRY HUGHES, Governor

177

4-403. WORK AUTHORIZATION.

(A)  IN GENERAL.

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)  PREPARED IN DUPLICATE; REQUIRED INFORMATION.

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)  SUBCONTRACTED DENTAL LABORATORY WORK.

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)  STANDARD FORMS.

THE BOARD SHALL PUBLISH:

(1) AN APPROVED STANDARD WORK AUTHORIZATION
FORM; AND