Get the free Endodontic Referral - NHS England template

Please complete and send to:Taunton: Restorative department, Musgrove Park Hospital, Park field Dr, Taunton TA1 5DA Tel: 01823 342 054/170 Email: restorative referrals. Mph somerset ft.NHS. Bristol:

How to fill out endodontic referral - nhs

How to fill out endodontic referral form

1. Step 1: Write the patient's full name and contact information at the top of the form.
2. Step 2: Fill in the referring dentist's name, address, and contact details.
3. Step 3: Provide the patient's dental history, including detailed information about the tooth requiring endodontic treatment.
4. Step 4: Indicate any previous endodontic treatment done on the tooth, if applicable.
5. Step 5: Include any relevant radiographs or images of the tooth.
6. Step 6: Specify the reason for the referral and any specific concerns or instructions.
7. Step 7: Sign and date the referral form.
8. Step 8: Keep a copy of the completed form for your records and provide the original to the endodontic specialist.

Who needs endodontic referral form?

1. Dentists or dental professionals may need an endodontic referral form when referring a patient to an endodontist for specialized treatment.
2. Patients who require endodontic treatment, such as root canal therapy or endodontic surgery, may also have a need for an endodontic referral form.

What is Endodontic Referral - NHS England Form?

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What is endodontic referral form?

The endodontic referral form is a document used by general dentists to refer patients to an endodontist for specialized dental procedures, particularly those related to the pulp and root of teeth.

Who is required to file endodontic referral form?

Typically, general dentists who require the expertise of an endodontist for their patients' treatment are required to file the endodontic referral form.

How to fill out endodontic referral form?

To fill out the endodontic referral form, the referring dentist needs to provide patient identification information, a description of the dental issue, relevant medical history, and any pertinent radiographs.

What is the purpose of endodontic referral form?

The purpose of the endodontic referral form is to ensure effective communication between the referring dentist and the endodontist, detailing the patient's needs for proper diagnosis and treatment.

What information must be reported on endodontic referral form?

The endodontic referral form must report patient demographics, dental history, specific symptoms, diagnostic findings, and any relevant imaging or treatment performed by the referring dentist.