DEN-FRM-010: Oral health education record

Standards › Standard 31 › Forms

Form · DEN-FRM-010 · Version 1.0 · Approved by the ASF Expert Committee

Supports: 31.25

Purpose

Records the oral health advice given to each patient, the risk it addressed and the patient’s understanding.

How to complete

• Give advice specific to the patient’s risk.
• Record the advice and the risk it addresses.
• Check that the patient can repeat the main advice.

Checks

Check	Entry
Patient and visit date	Yes
Advice given	Yes
Risk addressed	Yes
Patient repeats main advice (yes or no)	Yes

Evidence

Reference	Note
E-009
E-006	ASF Policy Framework v1.2. Adapted.
E-009	ASF Expert Committee consensus.

Change history

Version	Date	What changed	Approval
1.0	the date of approval	First version	set Expert Committee approval

E-learning for this document

• Dental Practice: Five Safety Criteria at the Chair (AMB-08)

References

• Accréditation Sans Frontières (2026). ASF Policy Framework v1.2. (E-006)
• Accréditation Sans Frontières (2026). ASF Expert Committee consensus on Standard 1. (E-009)