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Dr. Giorgio M Patricia Inc. B.Sc., M.Sc., DMD, Dip. Period., M.Sc., FRED(C)www.PetriccaPerio.comPERIODONTAL & IMPLANT Referral: 1 (778) 4061077Email: Patricia Shaw. Came ARE REFERRING:DATE:Patient:Birthdate:Address:MM
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How to fill out periodontal amp implant referral

01
Gather all necessary patient information, including medical history, dental history, and radiographs.
02
Assess the patient's specific periodontal and implant needs, and determine if a referral to a periodontal amp implant specialist is necessary.
03
Consult with the patient's dentist or periodontist if needed to discuss the specific treatment goals and desired outcomes.
04
Fill out the referral form completely, including the patient's personal information, contact details, and any relevant medical or dental history.
05
Provide detailed information about the specific periodontal and implant concerns, including any previous treatments or procedures.
06
Include any relevant radiographs or imaging results with the referral form.
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Clearly state the reason for the referral and any specific instructions or requests for the periodontal amp implant specialist.
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Communicate with the patient about the referral, ensuring they understand the process and any necessary follow-up appointments.
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Send the completed referral form and supporting documents to the periodontal amp implant specialist, either by fax, mail, or electronically as preferred.
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Follow up with the patient and the specialist to ensure the referral was received and to address any additional questions or concerns.

Who needs periodontal amp implant referral?

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Patients who require advanced periodontal treatment or dental implants may need a periodontal amp implant referral.
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This includes individuals with severe gum disease, missing teeth, or those seeking dental implants for functional or aesthetic reasons.
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General dentists may refer patients to periodontal amp implant specialists when they require specialized care beyond the scope of general dental practice.
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Patients who have had previous unsuccessful periodontal or implant therapies may also benefit from a referral to a specialist for further evaluation and treatment.
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Periodontal amp implant referral is a process of referring a patient to a periodontist or implant dentist for specialized treatment.
Dental professionals or general dentists who identify the need for periodontal or implant treatment in a patient are required to file the referral.
To fill out periodontal amp implant referral, the referring dentist must provide the patient's information, reason for referral, and any pertinent dental history.
The purpose of periodontal amp implant referral is to ensure that patients receive appropriate and specialized periodontal or implant treatment from experts in the field.
Information such as patient's name, contact information, reason for referral, dental history, and any relevant medical conditions must be reported on the referral form.
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