AGENCY: Davis County (Utah). Health Department. Nursing Division

SERIES: 10954
TITLE: United Way dental service treatment record
DATES: 1978-2018.
ARRANGEMENT: Alphabetical by head of household's name, thereunder alphabetical by patient's name.

DESCRIPTION: These records document dental treatment received by indigent children in Davis County. This program is funded through the United Way. The record copy of these records is retained by the treating dentist, while the local health department only retains a copy. These records include the service patient referral card, head of household's name, social security number, address, patient's name, patient's relationship with head of household, dental license number, description of treatment received, dates services received, procedure number, fee charged, amount patient pays, balance, patient's and/or parent's signature, and dentist's signature.

RETENTION

Retain for 3 year(s)

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

Retention and disposition for this series is proposed and has not yet been approved.

FORMAT MANAGEMENT

Paper copy: Retain in Office for 3 years and then destroy.

APPRAISAL

Administrative

This disposition is based on the administrative needs expressed by the local health department.

PRIMARY DESIGNATION

Private