Get the free Advanced Endodotic Clinic Referral Form - The Ohio State ...

Advanced Endodontic Clinic TH 4 Floor Apostle Halls, 305 W 12th Avenue Columbus, OH 43210 Office: (614) 2925399, Fax: (614) 6883608 Email: root canal×OSU.education REFERRAL FORM Referring office

How to fill out advanced endodotic clinic referral

How to fill out advanced endodotic clinic referral

1. Gather all relevant patient information, including their personal details, medical history, and any previous dental treatments they have received.
2. Identify the reason why the patient needs to be referred to an advanced endodontic clinic. This could be due to complex root canal treatments, integrated digital imaging, or specialized surgical procedures.
3. Contact the advanced endodontic clinic and obtain a referral form. Fill out the form accurately and completely, making sure to include all necessary information.
4. Attach any relevant patient records, such as dental X-rays, scans, or pathology reports, to the referral form.
5. Provide a detailed explanation of the patient's condition and the specific treatment requirements.
6. Submit the completed referral form and accompanying documents to the advanced endodontic clinic. Follow their preferred submission method, whether it's through email, fax, or in person.
7. Keep a copy of the referral form and all submitted documents for your records.
8. Inform the patient of the referral and provide them with any necessary information, such as the clinic's contact details and appointment scheduling process.
9. Follow up with the advanced endodontic clinic to ensure that the referral has been received and that the patient's appointment has been scheduled.
10. Communicate with the clinic and the patient as needed to facilitate a smooth transition of care and ensure that all necessary information is transferred.

Who needs advanced endodotic clinic referral?

1. A patient may need a referral to an advanced endodontic clinic if they require specialized endodontic treatment that goes beyond the scope of a general dentist.
2. Typically, individuals who require advanced endodontic clinic referrals are those with complex root canal cases, failed previous endodontic treatments, dental trauma cases, or patients who may benefit from the use of advanced imaging technology.
3. Referrals may also be necessary for individuals who require specialized surgical endodontic procedures, such as apicoectomy or root-end resection.
4. It is important to consult with a dental professional or an endodontist to determine if a patient would benefit from a referral to an advanced endodontic clinic.

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What is advanced endodontic clinic referral?

Advanced endodontic clinic referral is a process where a dentist refers a patient to a specialized endodontic clinic for advanced treatment.

Who is required to file advanced endodontic clinic referral?

Dentists are required to file advanced endodontic clinic referral for their patients who need advanced endodontic treatment.

How to fill out advanced endodontic clinic referral?

To fill out advanced endodontic clinic referral, dentists need to provide patient information, details of the treatment needed, and any relevant medical history.

What is the purpose of advanced endodontic clinic referral?

The purpose of advanced endodontic clinic referral is to ensure that patients receive specialized care for complex endodontic issues.

What information must be reported on advanced endodontic clinic referral?

Advanced endodontic clinic referral must include patient name, contact information, treatment needed, referral reason, and any relevant medical history.