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O R A Local Surgery Referral Form Referring Dentist Date Address S U R G E R Y Telephone No. Patients name D.O.B. Address Postcode Telephone No.(Home) (Mobile) Reason for referral R E F E R R A Please
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How to fill out referring doctorsreferral formoral surgeons

01
Start by gathering all the necessary information about the patient, including their personal details, medical history, and reason for referral.
02
Open the referring doctor's referral form for oral surgeons.
03
Carefully read and fill out the patient information section, providing accurate and complete details.
04
Move on to the medical history section and fill out all the relevant information about the patient's previous and current medical conditions, medications, allergies, and any surgeries they have undergone.
05
Next, provide a detailed description of the reason for referral, including any specific concerns or symptoms the patient is experiencing.
06
If applicable, attach any relevant medical reports, X-rays, or imaging results that support the referral.
07
Double-check all the information provided to ensure its accuracy and completeness.
08
Once satisfied, sign and date the referral form.
09
Submit the completed referral form to the appropriate oral surgeon or their office, following their preferred method of submission (e.g., fax, email, online portal).
10
Keep a copy of the referral form for your records.

Who needs referring doctorsreferral formoral surgeons?

01
Referring doctors who need to refer patients to oral surgeons.
02
Patients who require specialized dental or maxillofacial procedures that can be performed by oral surgeons.
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The referring doctor's referral form for oral surgeons is a document that provides necessary information about the patient and the reason for referral to an oral surgeon.
The referring doctor or healthcare provider who is referring the patient to an oral surgeon is required to file the referral form.
The referring doctor or healthcare provider must provide detailed information about the patient's medical history, reason for referral, and any relevant imaging or test results.
The purpose of the referral form is to ensure that the oral surgeon has all the necessary information to provide the best possible care for the patient.
The referral form should include the patient's demographic information, medical history, reason for referral, any relevant imaging or test results, and the referring doctor's contact information.
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