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305 West 12th Avenue 2015 Apostle Hall Columbus, Ohio 43210 PeriodonticsClinic OSU.edu pH: 6142924927 Fax: 6142923565Graduate Periodontics Clinic Referred Referral Requester. Facility Phone Fax Patient
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How to fill out graduate periodontics clinic referral
How to fill out graduate periodontics clinic referral
01
To fill out a graduate periodontics clinic referral, follow these steps:
02
Begin by providing your personal information such as your name, contact information, and date of birth.
03
Next, include information about your referring dentist or healthcare professional, including their name, contact details, and a brief explanation of the reason for the referral.
04
Specify the type of treatment or consultation required in the appropriate section. Provide as much detail as possible to ensure the graduate periodontics clinic understands your needs.
05
If you have any specific concerns or medical conditions that the clinic should be aware of, be sure to mention them in the appropriate section.
06
Review the completed referral form to ensure all the information is accurate and up-to-date.
07
Once you are satisfied, submit the referral form to the graduate periodontics clinic either in person, via mail, or through their online submission system.
08
Keep a copy of the referral form for your records.
09
Remember to follow any additional instructions provided by the graduate periodontics clinic for a smooth referral process.
Who needs graduate periodontics clinic referral?
01
A graduate periodontics clinic referral is typically required for individuals who require specialized periodontal treatment or consultation beyond the scope of general dentistry.
02
This may include individuals who have severe gum disease, require dental implant placements, need gum grafting or regenerative procedures, or have complex periodontal cases that require the expertise of a periodontist.
03
The referral ensures that the patient's case is properly evaluated and treated by the graduate periodontics clinic, which is staffed by dental professionals specializing in periodontics.
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What is graduate periodontics clinic referral?
The graduate periodontics clinic referral is a document used to refer patients to the periodontics clinic for specialized treatment.
Who is required to file graduate periodontics clinic referral?
Dentists or other healthcare providers who want to refer patients to the graduate periodontics clinic are required to file the referral.
How to fill out graduate periodontics clinic referral?
The graduate periodontics clinic referral can be filled out by providing the patient's information, reason for referral, and any relevant medical history.
What is the purpose of graduate periodontics clinic referral?
The purpose of the referral is to ensure that patients receive specialized periodontal treatment from experts in the field.
What information must be reported on graduate periodontics clinic referral?
The referral must include the patient's name, contact information, medical history, reason for referral, and any relevant dental records.
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