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RESEARCH referral proformaeAppraisal of a standardized periodontal referral proforma R. J. Snead,1 K. A. Eaton,2 J. S. Furnish,2 and H. N. Newman,2Aim The primary objective was to assess the standard
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How to fill out periodontal referral proforma

01
To fill out the periodontal referral proforma, follow these steps:
02
Start by entering the patient's basic information such as their name, age, and contact details.
03
Include a brief summary of the patient's medical history, including any relevant conditions or medications.
04
Document the reason for the referral, providing specific details about the periodontal issue or concern.
05
Include any relevant diagnostic information, such as X-rays or periodontal charts.
06
Indicate the desired outcomes or objectives for the referral.
07
Specify any additional instructions or preferences for the receiving periodontist, if applicable.
08
Finally, ensure that the referral is signed and dated by the referring dentist.
09
Note: It is important to provide clear and concise information in the referral proforma to ensure effective communication and proper care for the patient.

Who needs periodontal referral proforma?

01
Periodontal referral proforma is typically needed by dentists or dental professionals who want to refer their patients to a periodontist for specialized periodontal treatment.
02
This form helps facilitate the referral process and ensures that the periodontist receives all the necessary information and instructions to provide appropriate care for the patient's periodontal needs.
03
Patients with severe gum disease, periodontal infections, or other complex periodontal conditions may require a referral to a periodontist for specialized diagnosis and treatment.
04
By using the periodontal referral proforma, dentists can provide a comprehensive overview of the patient's periodontal condition and treatment goals, enabling the periodontist to provide tailored and targeted treatment options.
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Periodontal referral proforma is a document used by referring dentists to provide detailed information about a patient who needs periodontal treatment.
Any dentist or dental professional referring a patient for periodontal treatment is required to file the referral proforma.
The referral proforma should be completed with accurate information about the patient's dental history, current condition, and the reason for referral.
The purpose of the referral proforma is to ensure that periodontists have all necessary information about the patient before providing treatment.
The proforma should include patient's personal information, dental history, reason for referral, referring dentist's details, and any relevant medical information.
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