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Email SDM ENDODONTIC LIMITED CARE REFERRAL FORM Please email this form and all relevant radiographs to referral Denver.edu or fax to (303) 7240600 First appointment will be an evaluation only Patient
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How to fill out endodontic limited care referral

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How to fill out endodontic limited care referral

01
Begin by gathering all necessary information about the patient such as their name, contact details, and basic medical history.
02
Ask the patient for any previous dental records or X-rays that may be relevant to their current endodontic issue.
03
Assess the patient's dental condition and determine if they require a limited care referral for endodontic treatment.
04
If a referral is deemed necessary, explain the procedure to the patient and ensure they understand the purpose and benefits of the referral.
05
Provide the patient with a referral form specifically designed for endodontic limited care.
06
Fill out the referral form accurately, including the patient's personal information, dental diagnosis, and reason for the referral.
07
Be sure to include any relevant dental records or X-rays with the referral form.
08
Double-check the completed referral form for any errors or missing information.
09
Submit the referral form, along with the accompanying documents, to the appropriate dental specialist or clinic.
10
Keep a copy of the referral form and any related documents for your own records.
11
Follow up with the patient and ensure they receive the necessary endodontic treatment.

Who needs endodontic limited care referral?

01
Patients who have complex or difficult endodontic cases that cannot be adequately managed by a general dentist may require an endodontic limited care referral.
02
Patients with severe dental infections, abscesses, or extensive dental trauma may also benefit from endodontic limited care.
03
Additionally, patients who require specialized diagnostic procedures, such as an apical surgery or a root canal retreatment, may need a referral for endodontic limited care.
04
It is important for a dental professional to assess the patient's condition and determine if a referral is necessary for their specific case.
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Endodontic limited care referral is a process where a general dentist refers a patient to a specialist for specific endodontic treatment, often involving root canal procedures, while providing certain treatment parameters and limitations.
General dentists who determine that a patient requires specialized endodontic treatment or care beyond their scope are required to file an endodontic limited care referral.
To fill out an endodontic limited care referral, the referring dentist must include the patient's information, the reason for referral, relevant dental history, diagnostic findings, and any other pertinent details that would assist the endodontist in providing care.
The purpose of endodontic limited care referral is to ensure that patients receive the appropriate specialized care for complex endodontic issues, ensuring effective treatment and better outcomes.
The information that must be reported on an endodontic limited care referral includes the patient's name, contact information, dental history, the specific reason for referral, any prior treatments performed, and urgent symptoms if present.
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