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Orthodontic Continuation of Care Form Orthodontic Continuation Form OrthodonticContinuation of Cairo Care Form Member ID Number: Member Name: Date of Birth: Name of previous health partner that issued

How to fill out orthodontic bcontinuationb of care

How to Fill out Orthodontic Continuation of Care:

1. Begin by obtaining the necessary forms from your orthodontist or dental office. They will provide you with the documentation required for continuation of care.
2. Carefully read through the forms to understand the information required and any specific instructions provided. It is important to fully comprehend what is expected of you in order to accurately complete the continuation of care process.
3. Fill in your personal information at the top of the form, including your full name, date of birth, address, and contact details. Make sure to double-check the accuracy of the information before proceeding.
4. Next, provide details about your orthodontic treatment. Include the name of your orthodontist, the start date of your treatment, and any relevant treatment codes or numbers that may be requested.
5. Specify the reason for seeking continuation of care. This could be due to the need for ongoing adjustments, maintenance, or additional treatment.
6. If you have experienced any changes in your medical history since the start of your orthodontic treatment, it is crucial to disclose this information. Examples include new medications, diagnoses, or surgeries. Be thorough and honest to ensure appropriate and safe continuation of care.
7. If you have had any changes in your insurance coverage since your initial orthodontic treatment, provide updated details regarding your coverage. This may include changes in insurance providers, policy numbers, or any other relevant insurance information that has been updated.
8. Lastly, review the entire form for completeness and accuracy. Make any necessary corrections or additions before signing and dating the document.
9. Return the completed orthodontic continuation of care form to your orthodontist or dental office. Keep a copy for your records if desired.

Who needs orthodontic continuation of care?

1. Individuals who are currently undergoing orthodontic treatment and require ongoing adjustments or maintenance.
2. Patients who have completed their initial orthodontic treatment but still need further treatment to achieve the desired results.
3. Those who have experienced orthodontic relapse or changes in their dental alignment after the completion of their initial treatment.
4. Individuals who have had changes in their medical history, such as new diagnoses or medication usage, which may impact their orthodontic treatment.
5. Patients who have experienced changes in their insurance coverage and need to update their information to continue receiving orthodontic care.

For pdfFiller’s FAQs

What is orthodontic continuation of care?

Orthodontic continuation of care refers to the ongoing treatment and maintenance of orthodontic patients after the initial treatment phase.

Who is required to file orthodontic continuation of care?

Orthodontists or dental professionals who provide orthodontic treatment are required to file orthodontic continuation of care.

How to fill out orthodontic continuation of care?

Orthodontic continuation of care forms are typically filled out with the patient's treatment progress, adjustments made, and recommended future appointments.

What is the purpose of orthodontic continuation of care?

The purpose of orthodontic continuation of care is to track the progress of orthodontic treatment and ensure that patients are receiving proper follow-up care.

What information must be reported on orthodontic continuation of care?

Information such as treatment progress, adjustments made, recommended future appointments, and any changes in the patient's condition must be reported on orthodontic continuation of care forms.

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