Get the free Oral Surgery Referral Form - Parkway Dental Clinic Swansea

Oral Surgery Referral Form All NHS Referrals must be made with this form Referring practitioner to complete both sides. Incomplete forms will be returned. Prioritization: RoutineUrgentUSC Please fax

How to fill out oral surgery referral form

How to fill out oral surgery referral form

1. To fill out an oral surgery referral form, follow these steps:
2. Start by filling out the patient's personal information, including their name, address, phone number, and date of birth.
3. Provide the patient's medical history, including any allergies, current medications, and previous surgeries.
4. Specify the reason for the referral, whether it is for extraction, implants, jaw surgery, or any other specific procedure.
5. Include any relevant dental records or X-rays that support the need for oral surgery.
6. Enter the referring dentist's information, including their name, practice address, and contact number.
7. Provide any additional notes or specific instructions for the oral surgeon.
8. Make sure to sign and date the referral form before submitting it to the oral surgeon.

Who needs oral surgery referral form?

1. The oral surgery referral form is needed by dentists or dental professionals who have evaluated a patient and determined that they require specialized oral surgery procedures. This form is used to refer the patient to an oral surgeon for further treatment.

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What is oral surgery referral form?

Oral surgery referral form is a document used to refer a patient to an oral surgeon for specialized dental procedures.

Who is required to file oral surgery referral form?

Dentists, orthodontists, and other oral healthcare providers are required to file the oral surgery referral form when referring a patient for oral surgery.

How to fill out oral surgery referral form?

To fill out the oral surgery referral form, providers need to include patient's personal information, reason for referral, any relevant medical history, and contact information.

What is the purpose of oral surgery referral form?

The purpose of oral surgery referral form is to communicate the need for consultation or treatment with an oral surgeon and provide necessary information about the patient.

What information must be reported on oral surgery referral form?

The oral surgery referral form must include patient's name, date of birth, contact information, reason for referral, relevant medical history, and referring provider's information.