"Prescription" means a written order for dental technological work which has been issued by a licensed dentist. A prescription must be in a form prescribed by the board in regulation and must contain:
(1) the name, address, and certificate number of the individual or organization to do the work;
(2) identification of the patient by name or number;
(3) the date on which the authorization was written;
(4) a description of the work to be done, with diagrams, if necessary;
(5) a specification of the type and quality of materials to be used;
(6) the dentist's signature, complete address, and state license number.
HISTORY: 1962 Code Section 56-636.28; 1968 (55) 2502; 2008 Act No. 295, Section 2.