Ind. Code § 25-13-3-1 Definitions
Sec. 1. The definitions in IC 25-13-1-2 apply to this chapter.
As added by P.L.30-2018, SEC.2.
Ind. Code ch. 25-13-3
Ind. Code ch. 25-13-3
in effectInd. Code § 25-13-3-2 "Access practice agreement"
Sec. 2. As used in this chapter, "access practice agreement" means an agreement that:
(1) is entered into by a licensed dentist and a dental hygienist that allows the dental hygienist to provide preventive dental hygiene services directly to a patient; and
(2) complies with the requirements of this chapter.
As added by P.L.30-2018, SEC.2.
Ind. Code § 25-13-3-3 "Access practice dentist"
Sec. 3. As used in this chapter, "access practice dentist" means a licensed dentist who is licensed under IC 25-14 and has entered into an access practice agreement under this chapter with a dental hygienist.
As added by P.L.30-2018, SEC.2.
Ind. Code § 25-13-3-4 Unauthorized services prohibited
Sec. 4. This chapter does not allow a dental hygienist to provide services specifically prohibited in the access practice agreement.
As added by P.L.30-2018, SEC.2.
Ind. Code § 25-13-3-5 Requirements for dental hygiene services; subsequent therapeutic procedures
Sec. 5. (a) A dental hygienist who meets the following requirements may provide preventive dental hygiene services directly to a patient without a prior examination, presence, or authorization of the access practice dentist:
(1) The dental hygienist is licensed under IC 25-13-1.
(2) The dental hygienist has at least two thousand (2,000) documented clinical hours of dental hygiene services during two (2) years of active practice under the direct supervision of a dentist.
(3) The dental hygienist has entered into an access practice agreement that meets the requirements under section 6 of this chapter with a licensed dentist.
(4) The dental hygienist maintains liability insurance that meets the requirements under section 10 of this chapter.
(5) Before providing dental hygiene services to a patient under an access practice agreement, the dental hygienist has obtained a signed consent form that includes the information under section 11 of this chapter.
(6) The dental hygienist has met any other requirements of this chapter.
(b) A dental hygienist who meets the requirements under subsection (a) and has provided preventive dental hygiene services directly to a patient under an access practice agreement may not perform subsequent therapeutic procedures on the patient under an access practice agreement until after the access practice dentist has performed a clinical evaluation of the patient.
As added by P.L.30-2018, SEC.2. Amended by P.L.90-2019, SEC.13.
Ind. Code § 25-13-3-6 Access practice agreement requirements
Sec. 6. (a) An access practice agreement between a dental hygienist and an access practice dentist must meet the following requirements:
(1) The access practice agreement must be in writing, dated, and signed by the dental hygienist, the access practice dentist, and a representative of the setting where the access practice services will be performed.
(2) The access practice agreement must contain protocols prepared by the access practice dentist and dental hygienist to be used by the dental hygienist when treating patients.
(3) The access practice agreement must be reviewed by the dental hygienist and access practice dentist at least every two (2) years and signed and dated when the agreement is reviewed.
(b) The dental hygienist and access practice dentist must do the following:
(1) Maintain a copy of the access practice agreement while the agreement is active and for two (2) years after cessation of the access practice agreement.
(2) Provide a copy of the access practice agreement to the board upon request.
As added by P.L.30-2018, SEC.2.
Ind. Code § 25-13-3-7 Release of information forms; dental assistant supervision
Sec. 7. (a) If needed, a dental hygienist shall obtain signed release of information forms allowing the dental hygienist to access the patient's medical and dental records.
(b) A dental hygienist may use or supervise a dental assistant while providing services under an access practice agreement. However, the dental assistant may not provide direct clinical services to a patient.
As added by P.L.30-2018, SEC.2.
Ind. Code § 25-13-3-8 Availability of access practice dentist; appointment of emergency contact dentist
Sec. 8. An access practice dentist shall be available to provide emergency communication and consultation with the dental hygienist who is providing services under an access practice agreement. The access practice dentist shall appoint another licensed dentist in case the access practice dentist cannot be contacted for emergency communication and consultation.
As added by P.L.30-2018, SEC.2. Amended by P.L.164-2023, SEC.58.
Ind. Code § 25-13-3-9 Records
Sec. 9. (a) An access practice dentist shall maintain the records of the patients who are treated under an access practice agreement. If another licensed dentist provides follow-up treatment, the access practice dentist shall transfer the records to the licensed dentist. The patient's records must be maintained for the period required under IC 16-39-7.
(b) An access practice dentist and dental hygienist shall use electronic charting to create and maintain the records of the patients who are treated under an access practice agreement.
As added by P.L.30-2018, SEC.2.
Ind. Code § 25-13-3-10 Malpractice liability insurance
Sec. 10. A dental hygienist who provides services under an access practice agreement shall maintain malpractice liability insurance.
As added by P.L.30-2018, SEC.2.
Ind. Code § 25-13-3-11 Consent form
Sec. 11. (a) A dental hygienist must obtain a signed consent form before providing dental hygiene services under an access practice agreement. The consent form must be signed by:
(1) the patient; or
(2) a parent or legal guardian of the patient if the patient is a minor or is an incapacitated person.
(b) A copy of the signed consent form must be provided to the patient or the parent or legal guardian of the patient.
As added by P.L.30-2018, SEC.2.
Ind. Code § 25-13-3-12 Requirements after providing dental hygiene services
Sec. 12. (a) After providing dental hygiene services to a patient, the dental hygienist shall provide the patient or the parent or legal guardian of the patient with the following written information:
(1) Complete contact information, including the name, telephone number, and license number, of the dental hygienist who provided the services.
(2) Emergency contact information of the dental hygienist and the access practice dentist and any necessary protocols in the event of emergency.
(3) A list of the treatment provided, including, when applicable, billing codes, fees, and tooth numbers.
(4) A description of any further treatment that is needed or recommended.
(5) A statement that includes the following:
(A) The patient may choose to have dental services at a location where dental care is not normally provided.
(B) Dental hygiene services do not include a comprehensive dental examination.
(b) The access practice dental hygienist must recommend that the patient see a dentist and provide a list of at least three (3) dentists for comprehensive dental care. The list must include the access practice dentist.
As added by P.L.30-2018, SEC.2.
Ind. Code § 25-13-3-13 Authorized practice setting or facility
Sec. 13. A dental hygienist may practice in any setting or facility that is documented in the dental hygienist's access practice agreement.
As added by P.L.30-2018, SEC.2.
Ind. Code § 25-13-3-14 Termination of access practice agreement
Sec. 14. (a) Except as provided in subsection (b), the access practice dentist or dental hygienist may terminate an access practice agreement upon:
(1) providing thirty (30) days written notice to the other party; and
(2) if applicable, transferring to the access practice dentist all patient records subject to the access practice agreement.
(b) If an immediate termination of the dental hygienist's employment takes place, all patient records subject to the access practice agreement must be transferred to the access practice dentist not more than one (1) business day after the immediate termination.
As added by P.L.30-2018, SEC.2.
Source: Open US Law by Vaquill AI (CC BY 4.0)URL: https://iga.in.gov/laws/2026/ic/titles/25Fetched: 10/17/2026