Audits

Checklist

• Consent to care is signed
• MH questions are all answered, “YES” responses thoroughly commented
• MH signed by all partied with authorization to perform controlled acts of scale order signed
• Med release box and med clearance, is required, signed and dated by RDH/DDS
• Copy of medical release/prescriptions retained within clients file
• MH update forms are completed and signed
• Vitals are updated as required and documented in the ROC
• DH questions are all answered and commented on (incl. nutrition survey)
• EO/IO assessments are completed
• Tobacco survey and follow up forms are completed as required
• Dentition assessment is completed and signed
• Occlusion is completed and signed
• Rad interpretations/findings are recorded on the odontogram
• Periodontal assessment and oral deposit assessment completed and signed
• Referral from completed as needed with reason and signed 
• DH diagnosis and client centered goals completed
• Appointment plan and declined care are completed and signed
• Modifications to care are completed and signed
• Dental hygiene evaluation of care completed and signed
• Receipt of payment in record
• Family file completed including the CC interval, DD level, student name under drivers license and student changes the client status to “inactive” if they are not returning for care