Patient and Staff Non-Solicitation Clauses for Dental Practices
How non-solicits differ from non-competes, which states restrict them, and what patient-choice and records rules require when a dentist leaves.
Yes — within limits.
A non-solicitation clause stops a departing dentist, hygienist or assistant from actively soliciting your patients and employees after they leave, without banning them from practicing nearby the way a non-compete does.
Enforceability depends on your state: some allow these clauses even where non-competes are banned, others restrict or void them, and patient-choice and records rules apply whatever your contract says.
Here is how the two clauses differ and how to draft one that holds up.
Rules vary by state and change
This guide explains federal rules and the state rules it names, as of the date above.
Employment law and dental-practice rules differ by state and are revised often, so confirm current requirements with your state dental board, labor agency or employment counsel before you act on them.
It is general information, not legal advice.
Non-solicit vs non-compete
A non-compete restricts where a departing employee may work — how close, in what radius, in what kind of practice.
A non-solicit restricts who they may contact.
Someone bound by a non-solicit can take a job at the practice down the road or open their own office; they just cannot actively go after your patient panel or your team while they do it.
On the federal side, there is no rule banning employee non-competes: the Federal Trade Commission's 2024 Non-Compete Clause Rule was set aside in court and never took effect, and in a final rule published February 12, 2026 the agency removed it from the Code of Federal Regulations.
Which of these clauses a state allows is decided by state law, as of this guide's October 2026 check.
| Non-compete | Non-solicit | |
|---|---|---|
| What it restricts | Where and whether the person may work after leaving | Who the person may actively contact — your patients or your staff |
| What the person may still do | Whatever geography and scope the state allows, if any | Work anywhere, including a competing practice; serve patients who find them on their own; hire their own team |
| Where it fails | State bans, healthcare statutes and earnings thresholds | Drafted so broadly it reads as a non-compete; missed earnings floors and notice rules |
That gap is what makes the non-solicit a middle ground for a practice.
Minnesota's non-compete ban expressly does not cover non-solicitation agreements, confidentiality or trade-secret agreements, or agreements restricting the use of client lists — and it is not the only state structured that way, as the state-by-state section below shows.
California is the sharp edge.
Business and Professions Code 16600 voids every contract that restrains anyone from a lawful profession, trade or business, unless a statutory exception applies — and, as the next section shows, courts have applied that rule to clauses labeled "non-solicit" too.
The non-solicit is one clause in a wider package.
What the rest of an associate agreement should contain is its own topic; here, the non-solicit clauses get their own treatment.
Patient non-solicitation and patient choice
A patient non-solicit is your answer to the departing clinician who calls every patient of record and invites them to follow.
It binds the clinician, not the patient — the patient's right to choose a provider is the interest statutes like Colorado's protect (see below) — so the enforceable question is only what the departing clinician may do.
Narrow definitions are what hold up.
South Dakota's practitioner rule does not reach provisions barring a practitioner from soliciting current patients of the former employer, so long as they meet the general geographic and time limits — and it reads "soliciting" as a targeted affirmative act to convince a patient to transfer care.
The cleanest carve-out is inbound contact.
Under Virginia's statutory definition, a covenant not to compete cannot restrict an employee from serving a customer of the employer if the employee did not initiate contact with or solicit them — so a patient who calls the departing dentist unprompted has not been solicited.
Washington ties the clause to the relationship itself: a permitted nonsolicitation agreement there covers only customers the employee established or substantially developed a direct relationship with.
And the label is not what controls — an agreement that directly or indirectly bars the employee from accepting business from a customer, patient or client is not a non-solicit in Washington at all; it is treated as a non-compete.
New Mexico's practitioner non-compete law leaves room for exactly this drafting: it does not limit non-solicitation provisions covering patients and employees for one year or less after employment ends.
The trap is dressing a non-compete up as a non-solicit.
The clause struck down in Edwards v. Arthur Andersen barred the employee, for a year after leaving, from "soliciting" — defined by the agreement as providing professional services to — any client of the former office, and the court held the agreement invalid because it restrained his ability to practice his profession.
That is the rule in California: non-competition agreements are invalid even if narrowly drawn, unless a statutory exception applies — and the court left open whether a trade-secret exception exists.
Patient-choice rules can also reach clauses that never mention solicitation.
Under Colorado SB 25-083, a covenant is deemed to restrict the practice of dentistry if it prohibits or materially restricts a departing provider from telling patients they treated that the provider continues to practice, where and how to reach them, or that the patient has the right to choose a provider — and covenants restricting the practice of dentistry are void in Colorado regardless of income.
Maryland runs the other way: on a patient's request, the employer of a licensed direct-patient-care employee earning over $350,000 must tell the patient the new location where the former employee will be practicing.
Staff non-solicitation
A staff non-solicit stops a departing employee from recruiting your team — the associate who leaves and takes two assistants and a front-desk hire along, or the departing office manager who tries to rebuild your front office at their next job.
Oklahoma addresses these clauses head-on: since November 1, 2013, a clause barring an employee from soliciting the business's employees has been treated as not a restraint from exercising a lawful profession, trade or business, so staff non-solicits are allowed there.
Where earnings floors exist, they decide clause by clause.
Illinois bars non-solicits unless the employee earns more than $45,000 a year — rising to $47,500 on January 1, 2027 — so the clause that fits an associate can be void for an assistant earning under the floor.
Run each role's pay before you hand out the same paper.
Patient-list terms are their own tool, separate from the non-compete question.
Maryland's non-compete ban does not reach agreements about the taking or use of a client or patient list — under that statute, the ban and the list restriction are different clauses.
The federal route is the Defend Trade Secrets Act.
It lets the owner of a misappropriated trade secret related to a product or service in interstate commerce sue in federal court, and business information — including compilations such as a patient list — is a trade secret only if the owner took reasonable measures to keep it secret and it derives independent economic value from not being generally known.
The remedy has a ceiling that matters here: a DTSA injunction cannot prevent a person from entering into an employment relationship, and conditions on the new job must be based on evidence of threatened misappropriation, not merely on the information the person knows.
States that restrict non-solicits
Non-solicit rules are state rules, and they point in opposite directions in different places.
The states below are the ones this guide's research verified — keep your state in the same sentence as any of them, because none of these rules travel.
| State | The rule for non-solicits |
|---|---|
| California | Business and Professions Code 16600 voids every contract restraining anyone from a lawful profession, trade or business (statutory exceptions aside), and the clause struck down in Edwards — a bar on "soliciting" defined as providing services to former clients — was held invalid as a restraint on practice |
| Colorado | SB 25-083 voids non-competes and customer non-solicits restricting the practice of dentistry regardless of income, for covenants entered into or renewed on or after the act's effective date. For other staff, customer non-solicits are void except for workers earning at least 60% of the highly compensated threshold, which Colorado sets at $130,014 a year for 2026, and notice is required in a separate signed document before the offer is accepted |
| Illinois | Non-solicits are barred unless the employee earns more than $45,000 a year, rising to $47,500 on January 1, 2027, and are void unless the employer advises the employee in writing to consult an attorney and gives at least 14 calendar days to review |
| Washington | An agreement barring the employee from accepting business from a patient is treated as a non-compete, not a non-solicit; a permitted non-solicit covers only customers the employee established or substantially developed a direct relationship with |
| Virginia | A covenant cannot restrict serving a customer the employee did not initiate contact with or solicit — patient-initiated contact stays open |
The opposite group matters just as much, because it is where the tool keeps working even for practices that cannot use a non-compete:
- Minnesota. The non-compete ban does not cover non-solicitation agreements, confidentiality or trade-secret agreements, or agreements restricting the use of client lists.
- Utah. The statute's definition of a "non-compete agreement" excludes nonsolicitation agreements — and nondisclosure and confidentiality agreements too.
- Oklahoma. A former employee may work in the same or a similar business as long as they do not directly solicit the practice's established customers, and contract terms to the contrary are void — a no-direct-solicitation arrangement is what remains, and staff non-solicits are allowed.
- New Mexico. The practitioner non-compete law does not limit non-solicitation provisions covering patients and employees for one year or less after employment ends.
- South Dakota. The practitioner rule does not reach patient non-solicits that meet the general geographic and time limits.
If your state is not on either list, this guide has not verified its rule — do not assume your clause is safe or void.
Confirm with employment counsel before you rely on one.
For the non-compete half of the question, the state-by-state rules live in our guide to non-competes.
Patient records and notice when a dentist leaves
Whatever your non-solicit says, patient-protection duties run in parallel.
A contract can restrict who a departing clinician contacts; it cannot suspend what board rules and professional ethics expect when treatment is underway and the dentist walks out.
California.
Business and Professions Code 1680(u) makes it unprofessional conduct for a California dental licensee to abandon a patient — without written notice that treatment is to be discontinued, and before the patient has ample opportunity to secure the services of another dentist or hygienist.
ADA members.
The ADA Code of Professional Conduct (2.F) says that once a dentist has undertaken a course of treatment, the dentist should not discontinue it without giving the patient adequate notice and the opportunity to obtain the services of another dentist.
The ADA Code is an ethics code for ADA members, not state law.
Records.
ADA Code 1.B requires dentists to safeguard patient record confidentiality and, on request of a patient or another dental practitioner, to provide any information, in accordance with applicable law, that will be beneficial for the patient's future treatment.
Texas.
Board rule 22 TAC 108.8 treats dental records as the sole property of the dentist who performs the service, with ownership of original records transferable as the rule provides.
A dentist who leaves a practice — including by termination of employment — must maintain their records, make a written transfer of records to the succeeding dentist, or make a written agreement for the maintenance of records, and must notify the State Board of Dental Examiners in writing within 15 days of a transfer or maintenance agreement.
Texas also allows a transfer-of-records agreement to be made at any time in an employment relationship and to cover future dental records — so the clean fix is up front: an associate agreement can assign record ownership to the practice owner from day one.
HIPAA.
A covered entity — the practice — may use or disclose protected health information for its own treatment, payment, or health care operations.
What this guide's research did not verify is whether a "your dentist has left" letter clears HIPAA, so run any patient-notification letter past your compliance advisor or attorney before you send it.
Drafting a clause that holds up
A non-solicit earns its keep in the definitions.
These are the drafting moves the verified rules point to:
- Define solicitation as conduct. South Dakota's reading — a targeted affirmative act to convince a patient to transfer care — is the model. A clause that defines "solicitation" as providing services to any of your patients or clients is a non-compete wearing a label, and Edwards shows how that ends.
- Carve out inbound contact. Say expressly that the clause does not reach a patient who initiates contact on their own — the treatment Virginia's statute already gives unsolicited customers.
- Tie the scope to real relationships. Washington permits restricting only customers the employee established or substantially developed a direct relationship with — so scope the clause to the patients the associate actually treated.
- Keep the term short. New Mexico's safe harbor covers patient and employee non-solicits of one year or less; a longer tail invites the reasonableness fight you do not need.
- Handle the formalities. Illinois voids non-solicits unless you advise the employee in writing to consult an attorney and give at least 14 calendar days to review; Colorado requires notice in a separate signed document before the offer is accepted. Springing a clause at orientation can void it outright.
- Check pay per role. Illinois's $45,000 floor and Colorado's 60% threshold for customer non-solicits both turn on the individual employee's earnings, not on the practice's.
- Build the trade-secret file in parallel. Access-controlled logins, confidentiality terms, and a patient list nobody exports are what make the list protectable — the Defend Trade Secrets Act asks what measures you took and what you can show.
Then have employment counsel in your state read it before anyone signs: this guide verified the rules above, and other states have their own.
Keep the outcome in proportion, too — a clause is a backstop, not a retention strategy.
The hiring and pay decisions that do that work are the ground our dental hiring hub covers from the same employer side.
Before you put a non-solicit in front of a new hire
- Decide what you are protecting: patients in active treatment, the patient panel as goodwill, or the team itself.
- Define solicitation as conduct — a targeted, affirmative ask — never as providing services to a patient or client.
- Carve out patient-initiated contact in the clause itself.
- Keep the term to one year unless counsel says your state tolerates more.
- If your state sets an earnings floor for non-solicits, run each hire's pay against it before you hand over the paper.
- Handle the formalities where they exist: a separate signed notice before offer acceptance (Colorado), written advice to consult an attorney plus 14 calendar days to review (Illinois).
- Lock down the patient list: access-controlled logins, confidentiality terms, and no exports to personal devices.
- Have employment counsel in your state review the final draft.
Questions employers ask
Are non-solicitation agreements enforceable against dental hygienists and assistants?
It depends on the state and on each employee's earnings.
Illinois bars non-solicits unless the employee earns more than $45,000 a year, rising to $47,500 on January 1, 2027.
Colorado voids customer non-solicits for workers earning under 60% of its $130,014 highly compensated threshold, though covenants restricting dental practice are void there regardless of income.
Oklahoma treats a clause barring an employee from soliciting the business's employees as not a restraint of trade.
In California, a clause drafted like the one struck down in Edwards will not survive.
Can a departing dentist tell patients where they are going?
In Colorado, a covenant that stops a departing provider from telling patients they treated that the provider continues to practice, where and how to reach them, or that the patient may choose a provider is deemed a restriction on the practice of dentistry — and covenants restricting dental practice are void there regardless of income.
For a licensed direct-patient-care employee earning over $350,000 in Maryland, the duty runs the other way: on a patient's request, the employer must tell the patient where that former employee will practice.
Is my patient list a trade secret I can protect?
Under the federal Defend Trade Secrets Act, information such as a patient list is a trade secret only if you took reasonable measures to keep it secret and it has independent economic value from not being generally known.
Even then, a DTSA injunction cannot bar someone from taking a new job — conditions on new employment must rest on evidence of threatened misappropriation, not merely on what the person knows.
Do I have to notify patients when the associate treating them leaves?
Patient-protection duties exist whatever your contract says.
California makes it unprofessional conduct to abandon a patient without written notice and the chance to secure another dentist, and the ADA Code says a dentist should not discontinue undertaken treatment without adequate notice.
Texas requires a departing dentist to keep, transfer in writing, or arrange maintenance of their records, and to notify the State Board of Dental Examiners within 15 days.
This guide verified only these states — check your own state dental board's rule.
What is the difference between a no-contact clause and a non-solicit?
A non-solicit bars outbound asks: actively persuading your patients or employees to come along.
A no-accept clause goes further — it bars the departing employee from serving anyone who arrives on their own.
Washington's statute treats an agreement barring acceptance of business from a patient as a non-compete rather than a non-solicit, so the label on the clause does not control; its effect does.
Sources
- Federal Register 2026-02866 — FTC removes the Non-Compete Rule from the CFR (retrieved October 6, 2026)
- California Business and Professions Code 16600 (retrieved October 6, 2026)
- Edwards v. Arthur Andersen LLP (2008) 44 Cal.4th 937 (retrieved October 6, 2026)
- Minnesota Statutes 181.988 — Covenants not to compete (retrieved October 6, 2026)
- Oklahoma Statutes tit. 15 §§ 219A–219B (retrieved October 6, 2026)
- Colorado SB 25-083 — enrolled act (retrieved October 6, 2026)
- Colorado C.R.S. 8-2-113 — Restrictive employment agreements (retrieved October 6, 2026)
- Colorado 2026 PAY CALC Order (7 CCR 1103-14) (retrieved October 6, 2026)
- South Dakota SDCL 53-9-11.2 — Voidable restrictions (retrieved October 6, 2026)
- Maryland Labor & Employment § 3-716 (retrieved October 6, 2026)
- Illinois 820 ILCS 90 — Freedom to Work Act (retrieved October 6, 2026)
- 18 U.S.C. 1836 — Defend Trade Secrets Act civil action (retrieved October 6, 2026)
- 18 U.S.C. 1839 — Trade secret definition (retrieved October 6, 2026)
- New Mexico NMSA 24-1I-3 — Permitted provisions (retrieved October 6, 2026)
- Utah Code 34-51-102 — Definitions (retrieved October 6, 2026)
- Washington RCW 49.62 — Noncompetition covenants (retrieved October 6, 2026)
- Virginia Code § 40.1-28.7:8 — Covenants not to compete (retrieved October 6, 2026)
- California Business and Professions Code 1680 (retrieved October 7, 2026)
- ADA Code of Professional Conduct (revised to March 2023) (retrieved October 7, 2026)
- 45 CFR 164.506 — Uses and disclosures for treatment, payment, and health care operations (retrieved October 6, 2026)
- Texas Board rule 22 TAC § 108.8 — Dental records (retrieved October 7, 2026)
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