Get the free Orthodontic Continuation of Care Submission Form and Instructions

Continuation of Care Form for Orthodontic Treatment INSTRUCTIONS This Continuation of Care Form is to be used for Affordable Care Act (ACA) members who have enrolled in the plan after starting orthodontic

How to fill out orthodontic continuation of care

How to fill out orthodontic continuation of care

1. To fill out orthodontic continuation of care, follow these steps:
2. Start by gathering all necessary information and forms.
3. Fill out your personal information, including your name, address, and contact details.
4. Provide information about your current orthodontic treatment, including the name of your orthodontist and any specific instructions or treatment plans.
5. If you have any concerns or changes in your dental or medical history, make sure to mention them.
6. Fill out any insurance or financial information required.
7. Review the completed form for accuracy and completeness.
8. Sign and date the form.
9. Submit the form to your orthodontist or the relevant authority as instructed.
10. Keep a copy of the completed form for your records.

Who needs orthodontic continuation of care?

1. Orthodontic continuation of care is needed by individuals who are undergoing or have undergone orthodontic treatment.
2. This includes patients who are wearing braces, retainers, or any other orthodontic appliances.
3. The purpose of orthodontic continuation of care is to provide updated information about the patient's treatment progress, any changes in dental or medical history, and to ensure ongoing communication between the patient and orthodontist.

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What is orthodontic continuation of care?

Orthodontic continuation of care is the process of continuing orthodontic treatment for a patient.

Who is required to file orthodontic continuation of care?

Orthodontists or dental care providers who are providing orthodontic treatment are required to file continuation of care.

How to fill out orthodontic continuation of care?

Orthodontic continuation of care forms can be filled out by providing patient information, treatment details, progress notes, and any other relevant information.

What is the purpose of orthodontic continuation of care?

The purpose of orthodontic continuation of care is to ensure that patients receive proper and continuous orthodontic treatment.

What information must be reported on orthodontic continuation of care?

Information such as patient demographics, treatment plan, progress notes, and any changes in the treatment must be reported on orthodontic continuation of care forms.