Dental Practice Staff Code of Conduct Form

Professional Code of Conduct for Dental Practice Teams

Maintaining the highest standards of patient care, safety, and professionalism is essential in every dental practice. This Dental Practice Staff Code of Conduct Form provides a clear framework for team members to acknowledge and commit to essential workplace policies, from HIPAA compliance and infection control to professional appearance and ethical behavior.

Why Your Dental Practice Needs a Code of Conduct Form

Dental practices face unique compliance requirements around patient privacy, sterilization protocols, and clinical safety standards. A formal code of conduct form ensures every team member—from front desk staff to dental hygienists and assistants—understands their responsibilities and commits to upholding your practice's values.

This template helps dental practices:

• Ensure HIPAA compliance by documenting staff acknowledgment of patient privacy policies
• Maintain infection control standards with clear sterilization and safety protocol acknowledgments
• Set professional appearance expectations that reflect your practice's brand and patient trust
• Create accountability through documented agreement to ethical workplace standards
• Streamline onboarding with a single comprehensive acknowledgment form
• Protect your practice with signed records of policy acceptance

Built for Dental Practice Workflows

This Paperform template is designed specifically for dental offices, covering the critical areas that matter most to practice managers and dental principals. The form includes sections on patient confidentiality, sterilization procedures, professional dress codes, patient interaction standards, and workplace conduct expectations.

With Paperform's conditional logic, you can customize sections based on role (clinical vs. administrative staff), and use Papersign to collect legally binding eSignatures that create an auditable compliance trail. Every acknowledgment is timestamped and stored securely, meeting your documentation requirements for inspections, audits, and HR records.

Automate Your Compliance Workflow

Once a staff member submits their acknowledgment, you can use Stepper to automatically route the signed form to your HR system, add the completion date to your practice management software, or trigger annual re-acknowledgment reminders. Integration with Google Drive, Dropbox, or your document management system keeps all signed forms organized and accessible.

Whether you're onboarding new dental assistants, updating policies practice-wide, or preparing for a compliance audit, this template gives you a professional, HIPAA-conscious solution that protects your patients, your team, and your practice.