Maryland Statutes
Subtitle 4 - Dental Laboratory Work
Section 4-403 - Work Authorization

(a)    The work authorization required by § 4-402 of this subtitle for dental laboratory work shall:
        (1)    Be on the form that the Board requires;
        (2)    Be signed by a licensed dentist who requests the work; and
        (3)    Contain the information required by this section.
    (b)    The work authorization shall be prepared in duplicate and contain:
        (1)    The name and address of the dental laboratory to do the work;
        (2)    Identification of the patient by name or number;
        (3)    The date on which the work authorization form was completed;
        (4)    A description of the work to be done, including diagrams if necessary;
        (5)    A specification of the type of dental materials to be used; and
        (6)    The name and license number of the dentist who requests the work.
    (c)    A dental laboratory named in a work authorization may subcontract dental laboratory work, if that dental laboratory:
        (1)    Completes in duplicate the subcontracted work authorization form that the Board requires; and
        (2)    Complies with the record keeping requirements of § 4-404 of this subtitle.
    (d)    The Board shall publish:
        (1)    An approved standard work authorization form; and
        (2)    An approved standard subcontracted work authorization form that is of a color different from the standard work authorization form.
    (e)    A dental laboratory in this State may do dental laboratory work on the request of a dentist licensed and practicing in any other state or a foreign country if the request:
        (1)    Is on the form that the Board requires or a reasonably equivalent form; and
        (2)    Otherwise meets the requirements of this subtitle.