Get the free CBCT and/or PANO Referral for Providers - ProSites, Inc.

CBC/ Panoramic Scan Request Patient Name: Appointment: Date: Time: am pm Please list tooth/teeth or area for endodontic evaluation and/or treatment: Comments: CBC Only Please perform a CBC scan of

How to fill out cbct andor pano referral

How to fill out cbct andor pano referral

1. Step 1: Start by gathering all necessary patient information such as name, date of birth, and contact details.
2. Step 2: Determine the reason for the referral. Is it for a CBCT or Pano scan? This will help the recipient understand the purpose of the referral.
3. Step 3: Clearly state the patient's condition or symptoms that require the CBCT or Pano scan. Provide as much detail as possible to ensure the recipient understands the urgency and importance of the referral.
4. Step 4: Include any relevant medical history or previous imaging that may assist in the interpretation of the scan.
5. Step 5: Specify the preferred imaging center or radiology clinic where the scan should be conducted. Provide contact information for the facility if available.
6. Step 6: Add any additional notes or instructions that may be helpful for the recipient, such as specific requirements or preferences for the scan.
7. Step 7: Review the referral form for accuracy and completeness before sending it to the recipient. Make sure all the necessary fields are filled out.
8. Step 8: Send the referral form to the intended recipient via email, fax, or any other preferred method of communication.
9. Step 9: Follow up with the recipient to confirm the receipt of the referral and to ensure that the scan is scheduled in a timely manner.
10. Step 10: Keep a copy of the referral form and any related documentation for your records.

Who needs cbct andor pano referral?

1. Dentists who require comprehensive 3D imaging of the jaw, teeth, and surrounding structures may need a CBCT referral.
2. Maxillofacial surgeons who perform complex surgeries involving the face, jaw, or skull may require a CBCT referral.
3. Orthodontists who need to evaluate the alignment and positioning of teeth in three dimensions may benefit from a CBCT referral.
4. Oral and maxillofacial radiologists who specialize in interpreting CBCT and Pano scans may need referrals for their diagnostic services.
5. Patients with complex dental conditions or suspected abnormalities that cannot be adequately assessed through traditional dental imaging may require a CBCT or Pano referral.
6. Patients undergoing orthognathic surgery or dental implant placement may need a CBCT referral for precise pre-surgical planning.
7. Patients with trauma or suspected pathologies in the jaw or facial region may require a CBCT or Pano referral for accurate diagnosis and treatment planning.

For pdfFiller’s FAQs

How can I edit cbct andor pano referral from Google Drive?

Using pdfFiller with Google Docs allows you to create, amend, and sign documents straight from your Google Drive. The add-on turns your cbct andor pano referral into a dynamic fillable form that you can manage and eSign from anywhere.

Where do I find cbct andor pano referral?

It's simple with pdfFiller, a full online document management tool. Access our huge online form collection (over 25M fillable forms are accessible) and find the cbct andor pano referral in seconds. Open it immediately and begin modifying it with powerful editing options.

How do I complete cbct andor pano referral on an iOS device?

Install the pdfFiller iOS app. Log in or create an account to access the solution's editing features. Open your cbct andor pano referral by uploading it from your device or online storage. After filling in all relevant fields and eSigning if required, you may save or distribute the document.