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MINOR ORAL SURGERY REFERRAL FORM Patient Details: Surname: Dentist Details: Registered Dental Practice: Forename: Referring Dentist: Address: O R A L Dental practice address: Post Code: Post Code:

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How to fill out minor oral surgery referral

How to fill out a minor oral surgery referral:

01

Start by filling out the patient's personal information. This includes their full name, date of birth, and contact details. Make sure all the information is accurate and up to date.

02

Next, provide the referring dentist's information. This includes their name, practice name, address, contact number, and any additional details that may be required.

03

Specify the reason for the referral. Clearly outline the issue or concern that requires minor oral surgery. This helps the receiving oral surgeon understand the purpose of the referral and the specific treatment needed.

04

Include any relevant medical history. This is crucial for the oral surgeon to have a comprehensive understanding of the patient's overall health condition and any previous treatments that may impact the upcoming surgery.

05

If applicable, attach any supporting documentation such as X-rays, dental records, or imaging results. These help the oral surgeon assess the situation more accurately and determine the appropriate course of action.

06

Finally, sign and date the referral form. This shows that the referral has been made by a professional and is valid. It also ensures accountability and establishes a formal record of the referral.

Who needs a minor oral surgery referral?

A minor oral surgery referral is typically needed for individuals who require specialized treatment beyond the scope of the referring dentist's expertise. This may include procedures such as wisdom tooth extraction, dental implant placement, or treatment for an impacted tooth. Referrals are made to oral surgeons who have the necessary training and experience to perform such procedures safely and effectively. Ultimately, the decision to refer a patient for minor oral surgery depends on the dentist's assessment of the patient's condition and the recommended course of action.

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What is minor oral surgery referral?

Minor oral surgery referral is a process where a dentist refers a patient to an oral surgeon for minor surgical procedures.

Who is required to file minor oral surgery referral?

Dentists are required to file minor oral surgery referral for their patients.

How to fill out minor oral surgery referral?

To fill out a minor oral surgery referral, dentists need to provide patient information, reason for referral, and any relevant medical history.

What is the purpose of minor oral surgery referral?

The purpose of minor oral surgery referral is to ensure that patients receive specialized care for minor oral surgical procedures.

What information must be reported on minor oral surgery referral?

Minor oral surgery referral should include patient demographics, reason for referral, dental history, and any relevant medical conditions or allergies.

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