Customizable Dental Charting Form

This dental charting form gives dentists, orthodontists, and anyone who’s working in dentistry an easy way to record and keep track of patients’ oral health. Any dentist looking to improve communication with their patient can use 123FormBuilder’s dental charting form in their dental office to show the patient the status of their dental health, make a diagnosis, and set up a treatment plan.

What is a Dental Charting Form?

Dental and periodontal charting forms collect data about the patient’s dental health and give a visual representation of their mouth. It tracks details about the patient’s dental history, including things like tooth decay, gingival condition, or restorations. The dental chart template helps the dentist gain an accurate picture of the patient’s teeth and gums health condition, whose evolution they can easily access and track, and create an appropriate treatment plan.

Things to Include in A Dental Chart

Dental charting forms could include the following details:

• Patient’s name, gender, contact information
• Emergency contact
• Dental and medical history (e.g. past tooth restoration)
• General exam information (e.g. bleeding on probing, teeth and gums condition, etc.)
• A grid with a notation system
• Dentist’s notes
• Signature field (to sign for medical consent)

Making Your Medical Form HIPAA Compliant

To safely collect and store patients’ dental health information, your dental charting and periodontal charting forms need to be HIPAA compliant. With 123FormBuilder’s 100% HIPPA compliant forms you’ll enjoy robust security measures that protect the privacy of your ePHI and your dental practice against liabilities. Enjoy protection through measures such as data encryption, form password, automatic session log-out, and custom roles & permissions. HIPAA compliance comes with an advanced set of security features that you can activate with any of our Enterprise plans.

Benefits of 123FormBuilder Dental Chart

123FormBuilder’s dental charting forms aim to simplify how dentists record, trace, diagnose and build dental treatment plans for their patients.

Simple & Quick to Use

Once you’ve created your dental charting forms, you’ll find that at every patient examination you’ll just pull the form from your system and fill it out with the patient’s details, without worrying about losing the records or not having complete information. Include a dental chart in the form and fill in the details for each tooth number so you can track the dental care plan and give the patient a clear view of their oral health. Collecting and recording accurate data will also simplify how you collect payment for the services rendered. 

Safely Collect & Store Patient Info

These dental charting forms are easy to fill in and offer both the patient and the dentist a complete overview of the patient’s oral health status. But dealing with sensitive healthcare always requires extra security measures, which 123FormBuilder can provide through our HIPAA Compliance. Our HIPAA-compliant forms give you a safe way to collect and store patient data. From Antispam protection to storing data in AWS (Amazon Web Service) data centers and advanced encryption, we’re making sure that your patient’s data travels safely through our forms. 

Customize Your Charting Form

With a free 123FormBuilder account, you can access our dental charting or periodontal form templates that you can quickly customize to fit your dental office’s approach.  Include a grid chart of the mouth and give each tooth its number for quick identification. Whether it’s the FDI World Dental Federation notation, the Universal Numbering System, or the Palmer notation, use the notation system that makes it easy for you to record and track teeth health data. Set medical alerts, connect to 3rd party apps like Google Sheets or Dropbox (which is HIPAA compliant), and make it dynamic with question branching, which can help you determine the most appropriate next steps. 

Are You Looking For A Different Dental Form?

We have over 20 dental forms to choose from!