CDA Standard Dental Forms
CDA is working closely with the Canadian Life & Health Insurance Association (CLHIA) to ensure that dentists' submissions of requests for advance confirmation of coverage comply with privacy legislation.
During these consultations with the insurance industry, some insurers raised concerns about releasing information directly to the dentist, instead of returning it to the patient during the predetermination process.
Responding to the insurance industry's concerns, CDA has amended the CDA Standard Dental Claim form to include the patient's signed consent, authorizing benefits providers to return the results of predeterminations directly to the dentist. The new wording has been approved by the Canadian Life & Health Insurance Association. CDA asks all dentists to replace their existing forms with the new forms.
For your convenience, we have provided the revised CDA Standard Dental Claim Form, Standard Dental Treatment Form and the Standard Dental Referral Form on this Web site in PDF format. You are welcome to download the PDFs of these forms and photocopy them as needed.
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