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David She, DMD & Associates SPECIALISTS IN ORTHODONTICS & INVITATION Date: This will introduce:For the Orthodontic Evaluation of: Crowding Over jet Missing teeth Premature loss of primary teeth Delayed

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How to fill out orthoworks online referral form

01

Go to the OrthoWorks website

02

Click on the 'Referral Form' link in the main menu

03

Fill out your personal information such as your name, address, and contact details

04

Provide information about your dental insurance, if applicable

05

Specify the reason for the referral and any relevant details or medical history

06

Review the form for accuracy and completeness

07

Submit the form by clicking the 'Submit' button

08

Wait for a confirmation message or email from OrthoWorks

Who needs orthoworks online referral form?

01

Anyone who wants to refer a patient to OrthoWorks for orthodontic treatment needs the online referral form. This can include general dentists, dental specialists, or even patients themselves who have been advised to seek orthodontic care at OrthoWorks.

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What is orthoworks online referral form?

Orthoworks online referral form is an online form used to refer patients to orthodontic treatment services.

Who is required to file orthoworks online referral form?

Dentists, orthodontists, or other healthcare providers who wish to refer patients for orthodontic treatment are required to file the orthoworks online referral form.

How to fill out orthoworks online referral form?

To fill out the orthoworks online referral form, providers need to visit the Orthoworks website, complete the required fields with patient information and treatment details, and submit the form electronically.

What is the purpose of orthoworks online referral form?

The purpose of the orthoworks online referral form is to streamline the process of referring patients for orthodontic treatment, ensuring all necessary information is provided to the orthodontic practice.

What information must be reported on orthoworks online referral form?

Providers must report patient demographics, dental history, referral reason, and any relevant health information on the orthoworks online referral form.

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