Get the free I-CAT Referral Form - nanaimobracescom

CAT 3D Imaging Referral Form Dr. Alexis D. David, Certain Specialist in Orthodontics 210 1808 Bowen Road, Nanaimo, B.C. V9S 5W4 (250× 7160611 span Date of Birth (d×m/y): Address: Cone Beam CT Volume

How to fill out i-cat referral form

How to Fill Out i-CAT Referral Form:

1. Start by gathering all necessary information, including the patient's personal details such as name, contact information, and date of birth.
2. Next, provide the referring dentist's information, including their name, practice name, and contact details.
3. Fill in the reason for the referral, detailing the specific concern or issue that requires further evaluation or treatment.
4. Indicate any relevant medical history or previous imaging studies that may assist in the evaluation process.
5. Specify whether there are any specific areas of concern that need to be focused on during the examination.
6. If applicable, provide insurance information or indicate if the patient is self-pay.
7. Sign and date the referral form to validate your request.
8. Ensure that all information is accurately and legibly filled out to avoid any confusion or delays in the referral process.

Who Needs i-CAT Referral Form:

1. Dentists: Dentists who require additional imaging or specialized evaluations for their patients may need to fill out an i-CAT referral form. This could be for various reasons, such as complex dental conditions, orthodontic planning, or oral surgery requirements.
2. Orthodontists: Orthodontists may also need to use an i-CAT referral form to refer patients for a comprehensive 3D radiographic evaluation. This helps in assessing the position of teeth, jaw alignment, and overall oral health, assisting in developing effective treatment plans.
3. Dental Specialists: Dental specialists, including periodontists, endodontists, and oral surgeons, may utilize the i-CAT referral form to request additional imaging for patients requiring specialized treatments within their respective fields. This aids in accurate diagnoses and treatment planning.

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What is i-cat referral form?

The i-cat referral form is a form used to refer patients for advanced imaging procedures such as CT scans or MRIs.

Who is required to file i-cat referral form?

Medical professionals such as doctors, dentists, or specialists are required to file the i-cat referral form.

How to fill out i-cat referral form?

The i-cat referral form can be filled out by providing the patient's information, reason for referral, and selecting the type of imaging procedure needed.

What is the purpose of i-cat referral form?

The purpose of the i-cat referral form is to ensure that patients receive appropriate and timely advanced imaging services.

What information must be reported on i-cat referral form?

The i-cat referral form must include the patient's name, contact information, medical history, reason for referral, and the type of imaging procedure needed.