Nevada § 631.34583 - Bona fide relationship with patient required before use of teledentistry authorized; actions required before providing services through teledentistry; requirements for informed consent

§ 631.34583. Bona fide relationship with patient required before use of teledentistry authorized; actions required before providing services through teledentistry; requirements for informed consent

1. Except as otherwise provided in this subsection, a licensee must establish a bona

fide relationship, as defined by regulation of the Board, with a patient before providing

services to the patient through teledentistry. A licensee may establish such a relationship through teledentistry only: (a) For the purpose of emergent care; (b) In connection with a public health program; or (c) To make an initial diagnosis of a malposition of teeth and a determination of

the need for an orthodontic appliance. Such an initial diagnosis and determination must be confirmed through an in-person

visit before the patient begins using the orthodontic appliance. 2. Before providing services to a patient through teledentistry, a licensee shall: (a) Confirm the identity of the patient; (b) If the patient is a minor who is not authorized by law to consent to the services,

confirm that the parent or legal guardian of the patient is present; (c) Confirm that the patient is located in a jurisdiction where the licensee is licensed

or otherwise authorized to practice and document the location of the patient in the

record of the patient; (d) Obtain: (1) Informed verbal or written consent that meets the requirements of subsection 4

from a patient who is an adult or a minor authorized by law to provide consent; or (2) Informed written consent that meets the requirements of subsection 4 from the

parent or guardian of a patient who is a minor and is not authorized by law to provide

consent; and (e) Document the informed consent provided pursuant to paragraph (d) in the record

of the patient. 3. Before providing services through teledentistry and upon the request of a patient

to whom services are provided through teledentistry, a licensee or any partnership,

corporation or other entity through which a licensee provides services shall make

available to the patient proof of the identity of the licensee, the telephone number

of the licensee, the address at which the licensee practices, the license number of

the licensee and any other relevant information concerning the qualifications of the

licensee and any other licensee who will be involved in providing the services through

teledentistry. 4. Informed consent to the provision of services through teledentistry requires the

patient or his or her parent or guardian, as applicable, to be informed of: (a) The types of services that will be provided through teledentistry and any limitations

on the provision of those services through teledentistry; (b) The information prescribed by subsection 3 for each licensee who will provide

services through teledentistry; (c) Precautions that will be taken in the event of a technological failure or an emergency;

and (d) Any other information prescribed by regulation of the Board. 5. As used in this section: (a) “ Emergent care ” means treatment of pain, infection or any other intraoral or perioral condition

which presents immediate harm to the well-being of the patient and for which treatment

cannot be postponed. (b) “ Public health program ” means a program approved by the Board or any program administered by: (1) The Department of Health and Human Services; (2) A health district; or (3) A school district.