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Oral and Maxillofacial Surgery Referral Form University of Illinois at Chicago College of Dentistry Oral Surgery Fax: (312)9965987, email: oral surgery UIC.edu Date of referral: Referred by: Office
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How to fill out uic oral surgery referral
How to fill out UIC oral surgery referral:
01
Obtain the referral form from the UIC oral surgery department or their website.
02
Fill in your personal information, including your name, address, phone number, and email.
03
Provide your referring dentist's information, such as their name, address, phone number, and email.
04
Indicate the reason for the referral and the specific oral surgery procedure required.
05
Attach any relevant dental records or diagnostic imaging reports, such as x-rays or CT scans.
06
Specify any additional information or special instructions for the oral surgeon, if necessary.
07
Review the completed referral form for accuracy and make any necessary corrections before submission.
Who needs UIC oral surgery referral?
01
Patients who have been evaluated by their dentist and require specialized oral surgery treatment.
02
Individuals with specific dental needs that cannot be addressed by general dentists or primary care providers.
03
Patients who have been referred by their dentist to the UIC oral surgery department for further evaluation or treatment.
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People Also Ask about
How do I ask for a referral from a dental office?
The best time to ask for a referral or review is to ask patients after they have said something positive about your office, one of the team members, or the dentist. When a patient says something positive, the team member should immediately respond with a thank you, and then ask them to share that information.
Why do you get a referral number to a call in dental?
There are many reasons referrals take place in dental practices today, including the following: Treatment requires the care of multiple specialists. Complex implant restorations are required, such as those needing cosmetic and functional restorations. Patients require comprehensive reconstructive dental work.
Do dentists do referrals?
Your referral (including supporting information like x-rays) will be viewed by a Consultant in the speciality that you are being referred for. They will look at the complexity of your referral and decide if you need to be treated by a specialist.
How is a dental referral made?
The referring clinician must obtain the patient's consent to make the referral. The patient should understand the reasons for referral, what the treatment may involve and any possible complications that may arise. Before seeing a specialist, the patient should be allowed time to consider any risks involved.
What is dental referral form?
A dental referral form is a document that allows dental professionals to easily refer patients from one dentist to another.
What is the purpose of a dental referral?
Being referred to a specialist means you'll be getting care from a dentist who has specialized training to meet your dental care and treatment needs. Beyond the scope of their education, these professionals have invested in special tools to assist them in treating you more efficiently.
Do you have to pay for dental referrals?
Referral to another dentist If you're referred to a private dentist (and you accept this option), you'll: pay the appropriate NHS banding charge to the dentist who referred you. also pay a fee for the dental work carried out by the private dentist you're referred to.
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What is uic oral surgery referral?
UIC oral surgery referral is a formal request made by a healthcare provider for a patient to receive an evaluation or treatment from an oral surgeon affiliated with the University of Illinois at Chicago (UIC).
Who is required to file uic oral surgery referral?
Healthcare providers, such as dentists or medical doctors, who determine that a patient requires oral surgery treatment are required to file a UIC oral surgery referral.
How to fill out uic oral surgery referral?
To fill out a UIC oral surgery referral, the referring provider needs to complete a standardized referral form by providing patient demographics, clinical information, and the specific reasons for the referral.
What is the purpose of uic oral surgery referral?
The purpose of a UIC oral surgery referral is to ensure that patients receive specialized care from oral surgeons for conditions that require surgical intervention, facilitating continued patient care and treatment.
What information must be reported on uic oral surgery referral?
The information that must be reported on a UIC oral surgery referral includes the patient's name, date of birth, contact information, insurance details, clinical findings, the reason for the referral, and any necessary medical history.
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