<?xml version='1.0' encoding='utf-8'?>
<subtitle article="gho" title_number="4" subtitle_number="4" title_name="Dentistry" subtitle_name="Dental Laboratory Work">
  <section article="gho" article_name="Health Occupations" number="4-401" title_number="4" title_name="Dentistry" subtitle_number="4" subtitle_name="Dental Laboratory Work">
    <level label="a">
      <text>In this subtitle the following words have the meanings indicated.</text>
    </level>
    <level label="b">
      <text>“Dental technician” means an individual who does dental laboratory work.</text>
    </level>
    <level label="c">
      <text>“Subcontracted work authorization” means a written request for subcontracted dental laboratory work.</text>
    </level>
    <level label="d">
      <text>“Work authorization” means a written request for dental laboratory work.</text>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="4-402" title_number="4" title_name="Dentistry" subtitle_number="4" subtitle_name="Dental Laboratory Work">
    <level label="a">
      <text>Except as otherwise provided in this subtitle, a person other than a licensed dentist may not do dental laboratory work unless the person:</text>
      <level label="1">
        <text>Works under a work authorization that meets the requirements of § 4-403 of this subtitle; and</text>
      </level>
      <level label="2">
        <text>Uses casts or models made from impressions taken by a licensed dentist.</text>
      </level>
    </level>
    <level label="b">
      <text>The requirements of this subtitle that relate to work authorizations do not apply to:</text>
      <level label="1">
        <text>A dental laboratory on the premises of a dental office that is used only by the licensed dentists practicing in the office; or</text>
      </level>
      <level label="2">
        <text>A dental student, dental technician, or student dental technician while doing dental laboratory work at the educational institution, hospital, or clinic with which the individual is associated.</text>
      </level>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="4-403" title_number="4" title_name="Dentistry" subtitle_number="4" subtitle_name="Dental Laboratory Work">
    <level label="a">
      <text>The work authorization required by § 4-402 of this subtitle for dental laboratory work shall:</text>
      <level label="1">
        <text>Be on the form that the Board requires;</text>
      </level>
      <level label="2">
        <text>Be signed by a licensed dentist who requests the work; and</text>
      </level>
      <level label="3">
        <text>Contain the information required by this section.</text>
      </level>
    </level>
    <level label="b">
      <text>The work authorization shall be prepared in duplicate and contain:</text>
      <level label="1">
        <text>The name and address of the dental laboratory to do the work;</text>
      </level>
      <level label="2">
        <text>Identification of the patient by name or number;</text>
      </level>
      <level label="3">
        <text>The date on which the work authorization form was completed;</text>
      </level>
      <level label="4">
        <text>A description of the work to be done, including diagrams if necessary;</text>
      </level>
      <level label="5">
        <text>A specification of the type of dental materials to be used; and</text>
      </level>
      <level label="6">
        <text>The name and license number of the dentist who requests the work.</text>
      </level>
    </level>
    <level label="c">
      <text>A dental laboratory named in a work authorization may subcontract dental laboratory work, if that dental laboratory:</text>
      <level label="1">
        <text>Completes in duplicate the subcontracted work authorization form that the Board requires; and</text>
      </level>
      <level label="2">
        <text>Complies with the record keeping requirements of § 4-404 of this subtitle.</text>
      </level>
    </level>
    <level label="d">
      <text>The Board shall publish:</text>
      <level label="1">
        <text>An approved standard work authorization form; and</text>
      </level>
      <level label="2">
        <text>An approved standard subcontracted work authorization form that is of a color different from the standard work authorization form.</text>
      </level>
    </level>
    <level label="e">
      <text>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:</text>
      <level label="1">
        <text>Is on the form that the Board requires or a reasonably equivalent form; and</text>
      </level>
      <level label="2">
        <text>Otherwise meets the requirements of this subtitle.</text>
      </level>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="4-404" title_number="4" title_name="Dentistry" subtitle_number="4" subtitle_name="Dental Laboratory Work">
    <level label="a">
      <level label="1">
        <text>The dentist who signs a work authorization shall:</text>
        <level label="i">
          <text>Send the original to the dental laboratory named on the work authorization; and</text>
        </level>
        <level label="ii">
          <text>Keep the copy.</text>
        </level>
      </level>
      <level label="2">
        <text>The dental laboratory named in the original work authorization shall:</text>
        <level label="i">
          <text>Send the original of a subcontracted work authorization to the dental laboratory that is to do the subcontracted work; and</text>
        </level>
        <level label="ii">
          <text>Keep the copy.</text>
        </level>
      </level>
    </level>
    <level label="b">
      <level label="1">
        <text>The person who keeps or receives the original or copy of a work authorization or subcontracted work authorization shall keep it for at least 1 year.</text>
      </level>
      <level label="2">
        <text>If a subcontracted work authorization is issued, the dental laboratory named in the original work authorization shall attach the original work authorization form to the copy of the subcontracted work authorization form and keep the two together in the files of the dental laboratory for at least 1 year.</text>
      </level>
    </level>
    <level label="c">
      <text>If a dentist uses a patient identification number instead of a name on a work authorization, the dentist shall keep in the dentist’s office a cross reference that translates the number to the name of the specific patient.</text>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="4-405" title_number="4" title_name="Dentistry" subtitle_number="4" subtitle_name="Dental Laboratory Work">
    <text>A dental laboratory may make dental appliances for research, technique samples, or training purposes:</text>
    <level label="1">
      <text>Without a work authorization if the dental laboratory annually secures permission from the Board to use plastic typdont or dentoform type models for this fabrication; or</text>
    </level>
    <level label="2">
      <text>Under a work authorization signed by a licensed dentist that gives the dental laboratory permission to use the dentist’s cast of a particular patient and that contains:</text>
      <level label="i">
        <text>The name and address of the dental laboratory;</text>
      </level>
      <level label="ii">
        <text>Patient identification by name or number;</text>
      </level>
      <level label="iii">
        <text>The date on which the written work authorization form was completed; and</text>
      </level>
      <level label="iv">
        <text>The name and license number of the dentist who signs the form.</text>
      </level>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="4-406" title_number="4" title_name="Dentistry" subtitle_number="4" subtitle_name="Dental Laboratory Work">
    <level label="a">
      <text>A dental laboratory may not accept a request for dental laboratory work unless the request meets the requirements of this subtitle.</text>
    </level>
    <level label="b">
      <text>A licensed dentist may not:</text>
      <level label="1">
        <text>Suggest, request, or in any way direct that a patient appear at a dental laboratory; or</text>
      </level>
      <level label="2">
        <text>Sign a work request that does not contain all the information required by this subtitle.</text>
      </level>
    </level>
  </section>
  <section article="gho" article_name="Health Occupations" number="4-407" title_number="4" title_name="Dentistry" subtitle_number="4" subtitle_name="Dental Laboratory Work">
    <level label="a">
      <level label="1">
        <text>To determine compliance with this subtitle, the Board may inspect, at random, the work authorization forms and files kept by a licensed dentist or dental laboratory.</text>
      </level>
      <level label="2">
        <text>The Board may appoint any person, including a dental technician, to conduct the inspection permitted by this subsection.</text>
      </level>
    </level>
    <level label="b">
      <text>Doing dental laboratory work while not in possession of a work authorization or a subcontracted work authorization that meets the requirements of this subtitle is prima facie evidence of a violation of this subtitle.</text>
    </level>
  </section>
</subtitle>