(1) For the purposes of Section 466.023(2)(d), F.S., a dentist’s prescription for his patient of record for dental hygiene services shall contain the following information:

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    (a) The patient’s name and address;
    (b) The dentist’s name, business address and license number;
    (c) The name, business address and professional license number of the dental hygienist who is being authorized to perform the service; and
    (d) A statement of the specific services authorized and the frequency of the services authorized.
    (2) The prescribing dentist shall maintain an electronic or paper copy of the prescription within the patient’s dental record.
Rulemaking Authority Florida Statutes § 466.004(4). Law Implemented 466.023(2)(d) FS. History-New 8-4-80, Formerly 21G-9.10, Amended 1-18-89, Formerly 21G-9.010, 61F5-9.010, 59Q-9.010, Amended 3-22-17.