Get the free Gateway Oral Surgery Referral Form

Canary Gateway O.S. Gateway Oral & Maxillofacial Surgery South Park Center behind Porsche 3838 Gateway Blvd NW, Edmonton, AB, T6J 7A9 Tel: 780.760.1501, Fax: 780.760.1502 Mon to Fri: 8am 4pm Someday

How to fill out gateway oral surgery referral

How to fill out a gateway oral surgery referral:

1. Gather all necessary patient information, including their full name, birthdate, address, phone number, and any known allergies or medical conditions. This information is essential for accurately identifying the patient and ensuring their safety during the oral surgery procedure.
2. Provide details about the referring healthcare professional or dentist, such as their name, contact information, and any relevant credentials. This helps establish the source of the referral and allows for effective communication between the oral surgeon and referring party.
3. Include a brief summary of the reason for the referral. This should describe the specific oral health issue or condition that necessitates the oral surgery. Providing as much information as possible allows the oral surgeon to understand the patient's needs and develop an appropriate treatment plan.
4. Indicate any relevant insurance information, such as the patient's insurance provider, policy number, and any pre-authorization requirements. This helps ensure a smooth billing process and avoids unnecessary delays or complications.
5. Mention any additional documents or reports that accompany the referral, such as dental x-rays, previous treatment records, or diagnostic results. These supporting documents provide valuable insights into the patient's oral health history and aid in the assessment and planning of the oral surgery procedure.
6. Submit the completed referral form to the designated gateway or oral surgery clinic, either via mail, fax, or electronic submission, depending on the preferred method of communication.
7. Monitor the status of the referral and follow up with the gateway or oral surgery clinic if necessary. It is crucial to verify that the referral has been received and processed to ensure timely scheduling and coordination of the oral surgery appointment.
8. Keep a copy of the referral form for your records and for future reference if needed.

Who needs a gateway oral surgery referral?

1. Patients with complex oral health issues or conditions that require specialized care beyond the scope of general dentistry may require a gateway oral surgery referral. These conditions may include impacted wisdom teeth, complex dental implant placement, corrective jaw surgery, or treatment for oral pathology.
2. Dentists who have assessed a patient's oral health and determined that the expertise of an oral surgeon is necessary will typically provide a referral. This referral allows for seamless collaboration between the referring dentist and the oral surgeon to ensure optimal patient care.
3. Patients seeking a second opinion or consultation for complex dental treatment options may also seek a gateway oral surgery referral. Obtaining a referral ensures that the oral surgeon has access to the patient's dental records and can provide an informed opinion and treatment recommendations.

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What is gateway oral surgery referral?

Gateway oral surgery referral is a process of referring a patient to an oral surgeon for specialized dental procedures.

Who is required to file gateway oral surgery referral?

Dentists, orthodontists, or other healthcare providers are required to file the gateway oral surgery referral.

How to fill out gateway oral surgery referral?

Gateway oral surgery referral can be filled out by providing patient information, reason for referral, and any relevant medical history.

What is the purpose of gateway oral surgery referral?

The purpose of gateway oral surgery referral is to ensure that patients receive appropriate care from a specialist for complex dental procedures.

What information must be reported on gateway oral surgery referral?

Information such as patient demographic details, reason for referral, referring provider information, and relevant medical history must be reported on gateway oral surgery referral.