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Surgical Guide Order Prescription Form INSTRUCTIONS: The type of Surgical Guide’s) available is dependent upon the preplanning steps implemented. 3 Surgical Guides are included in the “Classic
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How to fill out surgical guide order prescription

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How to fill out a surgical guide order prescription:

01
Begin by gathering all necessary information such as patient's name, contact information, and relevant medical history.
02
Consult with the dentist or oral surgeon to determine the specific requirements for the surgical guide. This may include details about the desired implant placement or any other specific instructions.
03
Ensure that the prescription includes all relevant information, such as the type of surgical guide needed, any specific materials or dimensions required, and any additional instructions or preferences.
04
Double-check the accuracy and completeness of the prescription before submitting it to the appropriate supplier or lab.
05
Follow any additional steps or procedures as required by the supplier or lab, such as providing additional documentation or payment information.

Who needs a surgical guide order prescription?

01
Dentists or oral surgeons who are planning to perform implant surgeries may need a surgical guide order prescription. This tool is used to assist in accurately placing the implants according to the desired specifications and to ensure a successful outcome.
02
Patients who require dental implant surgery may indirectly benefit from the use of a surgical guide. The use of a surgical guide can help minimize the risks associated with the procedure and improve the overall treatment outcome.
03
Dental laboratories or suppliers who specialize in creating surgical guides will usually require a prescription in order to produce the guide accurately according to the dentist or oral surgeon's specifications.
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A surgical guide order prescription is a written order from a licensed healthcare provider for the fabrication of a custom surgical guide for a dental procedure.
Dentists and oral surgeons are required to file a surgical guide order prescription for their patients.
To fill out a surgical guide order prescription, a healthcare provider must include details such as patient information, procedure details, and any specific instructions for the fabrication of the surgical guide.
The purpose of a surgical guide order prescription is to ensure the accurate fabrication of a custom surgical guide to assist in a dental procedure.
Information such as patient name, date of birth, procedure details, healthcare provider information, and any specific instructions must be reported on a surgical guide order prescription.
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