Authorization Number : 580-1228
Agency Series No. : DEN-02H
Status : Active
Agency Web Link :
Agency : DMH
Confidential Description : N/A-Load
Division : DMH0483
Vital Description :
Section :
Record Title : Dental Records
Revision : 0
Record Description : Copies of dental records/forms maintained on hospital patients. Usually includes a copy of the Dental Record form, MEDR-1059. NOTE: The original of the Dental Record form, MedR-1059, or any other original form/record received from outside dentists (for