There is no required form or format, only a requirement that the information contain a complete disclosure of the materials used, and that it be provided in a way that can be incorporated into the patient record.
The Board is expecting that complete disclosure will provide a list of every material, stain, etc. that is contained in a dental lab product that will be placed in a patients mouth. The law further requires that the disclosure identify whether the individual products used are FDA approved.
The statute requires that dental practices in Minnesota use dental labs that are registered with the Minnesota Board of Dentistry if the lab is located in Minnesota. Dental labs in other states or countries may be used, but must still adhere to the regulations regarding disclosure.
The intent of the registration and the disclosure documents is to protect the public, which is the role of the Minnesota Board of Dentistry. The Board has jurisdiction over licensed dental professionals, and would potentially take action against the licenses of those who are responsible for the care of the patient involved.