Useful Forms for Dentists

Find the helpful forms to assist you with processing Delta Dental Plan of Oklahoma claims and much more. PDF forms may be downloaded.Get Adobe Acrobat

National Provider Identifier (NPI):

• About NPI
   View NPI Information

Additional Program Options

• DELTA DENTAL PATIENT DIRECT™ Individual/Family Program - Click to learn more!

Business Forms:

• Direct Deposit Form
   View EFT Form PDF
• W-9 Form
   View W-9 PDF
• XRay/Perio Charting Requirements
   View XRay/Perio PDF

Web Links:

• American Dental Association Web Site
   American Dental Association
  
• Delta Dental Plans Association Web Site
  Delta Dental Plans Association
  
• FastAttach Web Site
  Click here to link to FastAttach
  
• HIPAA Information
  HIPAA Information
  
• Oklahoma Dental Association Web Site
  Oklahoma Dental Association
  
• Renaissance Systems & Services
  Click here to visit RSS
  

Compliance:

• GLBA Privacy Policy
    View GLBA Privacy Policy PDF
  
• GLBA Privacy Policy (Individual Choice - Premier)
    View GLBA Indiv Choice Premier Privacy Policy PDF
  
• GLBA Privacy Policy (Delta Dental Patient Direct)
    View GLBA Delta Dental Patient Direct Policy PDF
  
• HIPAA Authorization Form
    View HIPAA Authorization Form PDF
  
• HIPAA Notice of Privacy Practices
    View HIPAA Notice PDF
  
• HIPAA Notice of Privacy Practices (Individual Choice - Premier)
    View HIPAA Individual Choice Premier Notice PDF
  
• HIPAA Notice of Privacy Practices (Delta Dental Patient Direct)
    View HIPAA Delta Dental Patient Direct Notice PDF
  
• HIPAA Compliance Calendar
    View HIPAA Compliance Calendar
  

[Back to Top]