List of Practice Resources for Members

ADAVB Practice Plus provides members with a comprehensive range of resources (listed below). These documents are available as individual templates or information sheets. We offer over 140 topic sheets covering all aspects of practice administration. The resources are available for free online, to ADAVB members.

To access these resources, click on the links below or go to the ADAVB Practice Plus webpage practiceplus.adavb.org and click on the links in the “Resources List” pdf (scroll down to bottom of page). Hard copies may also be purchased here.

SECTION 1: BUSINESS STRUCTURE & PLANNING Business Structures for a Dental Practice Cessation of Practice Closing or Cessation of a Dental Practice Copyright Protection Designing a Dental Surgery Expert Witness Guidelines

Practice Plus Service Directory Practice Transition and Change of Address Premises Licence Agreement Information Sheet Professional Dental Fees Sale and Purchase of a Dental Practice Tasmanian Compliance Links Victorian Compliance Links

Fee Setting Approval for Shared Practices

SECTION 2: PRACTICE ADMINISTRATION

Jury Service

Better Ordering Considerations

Medico-Legal Report – A Dental Perspective

Complaints Report

New Practice Requirements

Consent to Dental Treatment Form

New Practice Set Up Checklist

Consultation Certificate

Organisational Chart – Associate Option

Debtors Follow-Up

Organisational Chart

Electronic Appointment Reminders or Confirmations

Pathology and Diagnostic Imaging

Green Practice Audit

Practice Accreditation – How to register

HICAPS Quotation Facility

Practice Overview

Informed Consent Audit

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Letter relating to a faulty product

Letter to current patients re sale/transfer/closure of practice

List of Service Suppliers

Letter to dental laboratory requesting commitment to APPs

Patient - Did not attend appointment - Letter Template

Letter to other party requesting access to patient information

Patient – Payment Agreement - Letter Template Patient - Request for payment, Letter Template Option 1 Patient - Request for payment, Letter Template Option 2

Letter to other practice seeking access to patient records, and requesting patient consent Letter to service entities requesting commitment to APPs Notice for Patient Information

Patient Complaint Response Letter Template 1 Patient authority to request records from another practice

Patient Complaint Response Letter Template 2 Patient Record Disclosure – Log Sheet Patient complaints and response to them Patient Feedback Form

Patient representative’s authority to request records from another practice

Patient Feedback Instruction Sheet

Patient request to access records held at the practice

Patient Feedback Form Results

Patient/guardian authority to transfer records to another practice

Patient Records Management and Documentation Audit

Permission to Release Personal Health Information

Patient Registration & Health Summary Form – Information Sheet

Personally Controlled Electronic Health Record PCEHR Security and Access Policy

Patient Registration & Health Summary Form Patient Registration & Health Summary Form LARGE

Photographic Agreement Practice Audit Checklist

Referral & Consent Form Information Sheets

Practice Commitment to Privacy Legislation

Referral Form

Practice Notice re sale/transfer/closure of the practice

Resources to have available in the practice

Practice Privacy Checklist

Response to health fund re: preferred provider

Practice Privacy Complaints Register

SECTION 3: PRIVACY AND CONFIDENTIALITY

Practice Privacy Handling framework

Important information about the Practice and Your Privacy

Practice Privacy Policy Practice Privacy Policy for on-going contact

ISP Privacy Letter

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Practice Privacy Position

SECTION 5: HUMAN RESOURCES

Practice Privacy Program

Application for Leave Form

Practice Privacy Provisions

Appointment of new staff - Letter Template

Practice Record Checklist Privacy and Practice’s Employee Records Exemption

Exit Interview and Checklist Immunisation and Allergy Record of Dental Health Workers

Privacy Complaints Process Interview Questions Privacy Consent Form Job Application Form Privacy Audit Mobile Device Policy Privacy Manual Response to dental practice releasing patient file – Letter Template

Mobile Devices and Remote Access Security Awareness Training New Practitioner Checklist

Response to patient request for file - Letter Template Orientation and Induction of New Staff Sample Privacy Warning for Fax and Email Telephone protocol to confirm identity of person seeking information Video surveillance

Performance Review Personnel File Checklist Position Description

Website Privacy and Policy Statement

Position Description template- Information Security Officer ISO

SECTION 4: INFORMATION TECHNOLOGY

Reference Checks

Data Breach Response Plan Data Breach Response Plan - Template

Staff Details Form – Administration and Dental Assistants

Employee Undertaking for the Protection of Confidential Information

Staff Details Form – Dental Hygienists, Therapists or Oral Health Therapists

Information Technology IT and Computer Administration

Staff Details Form – Dentists Staff Incident Form

For more Human Resources, Industrial Relations and Workplace Health and Safety resources, please visit the “Human Resources Hub” under Membership Services at www.ada.org.au

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SECTION 6: INFECTION CONTROL

How to prepare for a WorkSafe Audit Incidents, Complaints and Risk Register

Am I in breach of my Infection Control & Privacy obligations?

Incidents, Complaints, Risks and Quality Improvement

Environmental Cleaning Audit

Medication Safety Audit and Action Plan

Hand Hygiene Compliance Audit

Needlestick and Sharps Injuries

Infection Control Audit / Action Plan

Occupational Violence & Aggression - Checklist

Infection control documents required in dental practices

Occupational Violence & Aggression – Incident Report

Validation of the Sterilisation Process SECTION 7: OCCUPATIONAL HEALTH AND SAFETY (OHS) Blood and Body Fluid Exposure Protocol Dental Amalgam Waste FAQs - Victoria Dental Amalgam Waste FAQs - Tasmania Document and Procedural Review Schedule Electrical Safety Electrical Safety Q&As for Patient Areas Escalation of Care Protocol Fire Safety & Emergency Management Plan

Occupational Violence & Aggression - Policy Patient Incident Report Practice/Staff Meeting Agenda & Minutes Template Quality Improvement Form Radiation Use and Management Licence for OPG and CBCT Radiation Licencing Tasmania Recycling in your Practice Risk Analysis Template Spills Kit Contents and Instructions TGA Medical Device Email Service TGA Monitoring

ADAVB Practice Plus is a practice support service for all members and is designed to provide information to assist you with practice management issues. As an ADAVB member you and your staff receive free resources and support.

Practice Plus also offers a range of consulting services on a fee for service basis.

Please contact us if you require any further assistance on ph. (03)8825 4600 or practiceplus@adavb.org

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