Free Exclusive Access to Our Updated Records Release Form 2026
Ensure your dental record release forms comply with HIPAA. Download our free handout with the latest guidelines and best practices for proper patient authorization.
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Concerned About Improper Completion?
Wondering if You've Collected Adequate Information?
Why is Patient Acknowledgement Needed?
How to Ensure Dental Record Release Forms Don't Violate HIPAA
This handout provides clarity on how to ensure dental record release forms comply with HIPAA requirements and protect your practice.
Key Areas Your Release Form Must Address
Accuracy of Information
Ensure all patient details and record requests are complete, accurate, and properly documented.
Specifics of Disclosure
Clearly define what records are being released, to whom, and for what purpose to maintain compliance.
Patient Acknowledgement
Obtain proper patient signatures and acknowledgements before any records are released.
Get the Handout Before Your Next Record Release Request
5 Steps to Ensure Dental Record Release Forms Comply with HIPAA
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Real Client Testimonials
“mConsent saved me a lot of time, a lot of stress. I don’t have to do data input, everything goes into its place.”
“Patients are able to fill out their paperwork online and they like that because they don’t have this packet of paper to fill out.”
“It saves tons of time and allows us to spend time with the patient instead of patients sitting while the dentist inserts the information.”
“Before mConsent everything was definitely more labor intensive, lots of time consuming paperwork that we don’t have to do now.”
“Before using mConsent we had to find and pull patients’ charts and input data, it takes a lot of time.”
“Before using mConsent I had to print out the router sheet everyday and get the patient’s signature, very time consuming.”
Why 5,000+ Dental Offices Choose mConsent
HIPAA Compliant
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Training & Support for Staff
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Schedule A DemoImportant disclosures
* “5,000+ practices” is a lifetime cumulative platform total and is not a forecast of any individual practice’s results.
* The records release form handout is provided for general informational purposes only and does not constitute legal advice.
* Testimonials reflect individual experiences and are not a guarantee of results. Individual results may vary.
1. Practice Count. “5,000+ practices” is a lifetime cumulative platform total and is not a forecast of any individual practice’s results. Individual practice results will vary.
2. HIPAA & Security. mConsent operates under a Business Associate Agreement (BAA) with each subscribing practice, as required by HIPAA. All data is encrypted in transit and at rest. mConsent does not independently guarantee compliance for any practice; each practice is responsible for its own HIPAA compliance program.
3. Handout Content. The records release form handout is provided for general informational purposes only and does not constitute legal advice. Practices should consult with their own legal counsel to ensure compliance with applicable federal and state laws.
4. Testimonials. Testimonials reflect individual experiences and are not a guarantee of results. Individual results may vary.
5. PMS Integrations. mConsent integrates with Dentrix, Open Dental, Eaglesoft, Dolphin, and athenahealth. Integration availability, write-back fields, and sync behavior may vary by PMS version and configuration. Dentrix is a trademark of Henry Schein One, LLC. Eaglesoft is a trademark of Patterson Dental. Open Dental is a trademark of Open Dental Software. iPad is a trademark of Apple Inc.
6. Form Submission. Submitting this form does not create a binding agreement, subscription, or financial obligation. mConsent does not sell or share personal data submitted through this form for third-party marketing purposes.
