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James G. Wilson, DMD Board Certified Periodontist Matthew T. Waite, DDS, MS Michael R. Tester, DMD, Board Certified Periodontist Pl ea s e PrintConfidential Information QuestionnairePatients Legal
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To fill out what your periodontist says, follow these steps:
02
Take notes during your appointment: Make sure to jot down any instructions, recommendations, or treatment plans that your periodontist provides.
03
Ask for clarification if needed: If there is something you don't understand or need more information about, don't hesitate to ask your periodontist for further explanation.
04
Review your notes: Take some time to go through your notes and ensure you have all the necessary details and instructions written down accurately.
05
Follow the instructions: It's important to carefully follow any instructions given by your periodontist regarding oral hygiene, medication usage, follow-up appointments, or any specific procedures.
06
Maintain regular communication: Stay in touch with your periodontist and update them on any changes or concerns you may have regarding your oral health.
07
Attend follow-up appointments: Make sure to schedule and attend any follow-up appointments as recommended by your periodontist to monitor your progress and make any necessary adjustments to your treatment plan.

Who needs my periodontist says that?

01
Anyone who has been diagnosed with periodontal disease or any other gum-related issues may need to follow their periodontist's advice.
02
Individuals who have undergone periodontal treatment or surgery and are in the recovery phase should also pay attention to what their periodontist says.
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People who want to maintain good oral health and prevent periodontal problems can benefit from listening to their periodontist's recommendations and guidelines.
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It is a document provided by your periodontist that outlines the diagnosis, treatment plan, and any necessary referrals for gum disease or other periodontal issues.
Typically, the patient or their dental office is responsible for filing this document if it is needed for insurance claims or record-keeping purposes.
You should fill out your periodontist's document by providing accurate personal information, treatment details, and any required signatures as specified by your periodontist or dental office.
The purpose is to formally document your periodontal health status, treatment needs, and to communicate this information to insurance companies or other healthcare providers.
The report should include personal identification details, diagnosis, treatment recommendations, dates of service, and any applicable billing codes.
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