Get the free Division of Dentistry REFERRAL FORM - CHEO - Home

REFERRAL FORM Division of Dentistry 401 Smith Road Ottawa, ON K1H 8L1 Website: www.cheo.ca Fax: (613) 7384201 Telephone: (613) 7372357 REFERRING PROFESSIONAL Name: Fax: M.D. Telephone: DDS/DMD Mailing

How to fill out division of dentistry referral

How to fill out a division of dentistry referral:

1. Obtain the necessary referral form from your dentist or dental office.
2. Fill in your personal information, including your full name, date of birth, and contact information.
3. Provide details about the dentist or dental specialist you are being referred to, such as their name, address, and contact information.
4. Indicate the reason for the referral, whether it is for a specific dental procedure, consultation, or further examination.
5. If applicable, provide any relevant medical history or information that may be important for the dentist or specialist to know.
6. If required, have your dentist or dental office complete their portion of the referral form, including their name, contact information, and any additional details or notes.
7. Double-check all the information you have entered to ensure accuracy and completeness.
8. Sign and date the referral form.
9. Return the completed referral form to your dentist or dental office as instructed (e.g., by mail, in person, or via email).

Who needs a division of dentistry referral:

1. Patients who require specialized dental care beyond the scope of their general dentist may need a division of dentistry referral.
2. Individuals who need specialized dental procedures, such as oral surgery, periodontal treatment, orthodontics, or endodontics, may require a referral to a dental specialist.
3. Patients with complex dental conditions or cases that require a multidisciplinary approach may benefit from a referral to a division of dentistry.
4. Individuals seeking a second opinion or consultation from a dental specialist may also require a referral.

Note: The specific requirements for obtaining a division of dentistry referral may vary depending on your location and dental healthcare system. It is always best to consult with your dentist or dental office to understand the referral process and requirements applicable to your situation.

For pdfFiller’s FAQs

What is division of dentistry referral?

Division of dentistry referral is a process where a dentist refers a patient to a specialist for further treatment.

Who is required to file division of dentistry referral?

Dentists are required to file division of dentistry referral when referring a patient to a specialist.

How to fill out division of dentistry referral?

Division of dentistry referral can be filled out by including the patient's information, reason for referral, and specialist's information.

What is the purpose of division of dentistry referral?

The purpose of division of dentistry referral is to ensure that patients receive appropriate and specialized care for their dental needs.

What information must be reported on division of dentistry referral?

Information such as patient's name, contact information, reason for referral, treatment provided, and specialist's information must be reported on division of dentistry referral.

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