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Oral and Maxillofacial Surgery Clinical Privileges Name: Application Date: Initial privileges (initial appointment) Requested Renewal of privileges (reappointment) Requested Expansion of privileges
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How to fill out unmmg-oral-and-maxillofacial-clinical - unm medical:

01
Ensure you have all the necessary information and documents related to the clinical form, such as patient details, medical history, and any required attachments or supporting documents.
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Start by carefully reviewing the form and understanding the specific requirements and instructions mentioned. This will help you fill out the form accurately and avoid any mistakes or missing information.
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Begin by providing your personal details and contact information, including your name, address, phone number, and email.
04
Clearly state the purpose of the form, which in this case would be for the oral and maxillofacial clinical at UNM Medical.
05
Fill in the patient's details, including their name, date of birth, gender, and contact information. Make sure to accurately enter their medical history, any known allergies, and current medications they are taking.
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Provide detailed information about the specific clinical or procedure being requested or scheduled. This may include the type of oral and maxillofacial treatment needed, referral details, and any relevant diagnosis or reason for the clinical.
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If there are any specific requirements or instructions related to the clinical, such as fasting or pre-procedure preparations, make sure to include them in the appropriate section of the form.
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Attach any necessary supporting documents, such as X-ray images, lab results, or referral letters. Ensure that these attachments are labeled correctly and clearly correspond to the information provided in the form.
09
Review the completed form to verify the accuracy and completeness of the information. Double-check for any errors or missing details that may affect the processing of the clinical request.
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Once you have reviewed and ensured the accuracy of the form, submit it according to the specified guidelines or procedures indicated by UNM Medical.

Who needs unmmg-oral-and-maxillofacial-clinical - unm medical:

01
Patients who require oral and maxillofacial clinical evaluations or procedures at UNM Medical.
02
Individuals who have been referred by other healthcare professionals or dentists for specialized oral and maxillofacial treatments.
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Patients seeking expert evaluation and treatment for conditions or injuries related to the mouth, jaws, or face, such as tooth extractions, corrective jaw surgery, facial trauma, or TMJ disorders.
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Individuals who have specific oral and maxillofacial concerns or conditions and are seeking diagnosis, treatment planning, or ongoing management at UNM Medical's oral and maxillofacial clinical department.
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Dentists or healthcare providers seeking consultations or collaborations with the oral and maxillofacial specialists at UNM Medical.
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unmmg-oral-and-maxillofacial-clinical - unm medical refers to the clinical services provided by the oral and maxillofacial department at the University of New Mexico Medical center.
Dentists, oral surgeons, and medical professionals associated with the department are required to file unmmg-oral-and-maxillofacial-clinical - unm medical.
To fill out unmmg-oral-and-maxillofacial-clinical - unm medical, professionals need to provide accurate patient information, diagnosis, treatment provided, and follow the prescribed reporting format.
The purpose of unmmg-oral-and-maxillofacial-clinical - unm medical is to document and track patient care and treatment in the oral and maxillofacial specialty.
Information such as patient demographics, medical history, treatment plan, surgical procedures, and follow-up care must be reported on unmmg-oral-and-maxillofacial-clinical - unm medical.
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