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Get the free REFERRAL FOR PERIODONTAL CONSULTATION amp TREATMENT - bPeriotouchb

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12777 Valley View Street, Suite 282 Garden Grove, CA 92845 Tel 7148988757 Fax 7143733780 www.Periotouch.com REFERRAL FOR PERIODONTAL CONSULTATION & TREATMENT Jin Y. Kim, DDS, MPH, MS Roy Yew, DMD
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How to fill out referral for periodontal consultation

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How to fill out a referral for a periodontal consultation:

01
Start by providing the patient's basic information, including their name, date of birth, address, and contact number.
02
Indicate the reason for the referral, specifying that it is for a periodontal consultation. You can mention any dental concerns or symptoms that the patient is experiencing.
03
Include the patient's relevant dental history, such as previous treatments, surgeries, or ongoing dental conditions.
04
If the patient is under any medications, allergies, or any other relevant medical history, ensure to include that in the referral form.
05
Mention any additional information that may be necessary for the periodontist to know, such as specific questions or areas of concern.
06
Sign and date the referral form and provide necessary contact information, in case the periodontist needs to clarify any details or schedule an appointment.

Who needs a referral for a periodontal consultation:

01
Patients who are experiencing symptoms of periodontal disease, such as gum inflammation, recession, or bleeding gums, should consider seeking a referral for a periodontal consultation.
02
Individuals with a family history of periodontal disease or other known risk factors such as smoking, diabetes, or poor oral hygiene may benefit from a referral to a periodontist.
03
Those who have received previous dental treatments or surgeries but are still experiencing persistent gum problems should also consider obtaining a referral for a periodontal consultation.
04
Patients with complex dental cases where the general dentist requires specialized expertise in periodontics may be referred for a consultation.
05
In some cases, individuals who want a second opinion or are seeking specific periodontal treatments not available at their regular dental clinic may also require a referral for a periodontal consultation.
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Referral for periodontal consultation is a request from a general dentist to a periodontist for specialized evaluation and treatment of periodontal issues.
A general dentist is required to file a referral for periodontal consultation.
To fill out a referral for periodontal consultation, the general dentist must provide detailed information about the patient's dental history, current issues, and reasons for the referral.
The purpose of referral for periodontal consultation is to ensure that patients receive appropriate and specialized care for their periodontal needs.
The referral for periodontal consultation must include the patient's name, contact information, dental history, current issues, and reason for referral.
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