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Dental referral form Please complete in block capitals and fax completed form to 0117 906 1950 Please indicate the treatment center you are referring your patient to by filling out the first choice
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How to fill out dental referral form please

01
To fill out a dental referral form, follow these steps:
02
Start by entering the patient's personal information, including their full name, date of birth, and contact details.
03
Provide the patient's insurance information, if applicable, such as the insurance company name and policy number.
04
Indicate the reason for the referral, including the specific dental issue or procedure that requires specialist care.
05
If the patient has any existing dental conditions or allergies, make sure to document them accurately.
06
Include any relevant medical history or current medications the patient is taking that could impact dental treatment.
07
If the referring dentist has any specific instructions or recommendations for the specialist, note them in the designated section.
08
Ensure that all required signatures, including both the referring dentist and the patient, are obtained.
09
Double-check all entered information for accuracy and legibility before submitting the form.
10
Make a copy of the completed form for your records, if necessary.
11
Submit the form to the appropriate specialist or dental clinic as instructed.

Who needs dental referral form please?

01
Dental referral forms are typically needed by:
02
- General dentists who need to refer patients to specialists like orthodontists, oral surgeons, periodontists, endodontists, etc.
03
- Patients who require specialized dental treatment beyond the scope of their general dentist's expertise.

What is Dental referral Please complete in block capitals and fax completed to 0117 906 1950 Form?

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A dental referral form is a document used to refer a patient to another dentist or specialist for further treatment or consultation.
Dentists or dental professionals who believe a patient needs specialized treatment or consultation are required to file a dental referral form.
To fill out a dental referral form, the referring dentist must provide the patient's information, reason for referral, desired outcome, and any relevant medical history.
The purpose of a dental referral form is to ensure that patients receive the appropriate care from specialists or other dental professionals when needed.
The dental referral form must include the patient's name, contact information, reason for referral, relevant medical history, and any specific instructions for the specialist.
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