Get the free UHN Dental Oncology Referral Form

Department of Dental Oncology and Maxillofacial Prosthetics University Health Network Princess Margaret Cancer Center 610 University Avenue, Room 2933, Toronto, ON M5G 2M9 Tel: (416) 9462198 Fax:

How to fill out uhn dental oncology referral

How to fill out uhn dental oncology referral

1. To fill out the UHN Dental Oncology Referral, follow these steps:
2. Start by providing the patient's personal information, including their full name, contact details, and date of birth.
3. Indicate the patient's medical condition and any relevant medical history that may be important for the dental oncology team to know.
4. Specify the reason for the referral, providing details about the type of dental treatment or consultation needed.
5. Include any supporting documentation or test results that are available and may assist in the evaluation process.
6. If applicable, provide information about the patient's primary care physician or oncologist.
7. Sign and date the referral form before submitting it to the UHN Dental Oncology department.
8. Keep a copy of the referral form for your records and track its progress as needed.
9. Note: It is recommended to consult with the patient's healthcare team or refer to any specific guidelines provided by UHN for accurate completion of the referral form.

Who needs uhn dental oncology referral?

1. Patients who require dental oncology services or consultations related to their cancer treatment may need a UHN Dental Oncology referral.
2. This may include individuals undergoing radiation therapy, chemotherapy, or other cancer treatments that can affect oral health.
3. Patients with oral complications or those in need of specialized dental procedures in coordination with their cancer treatment may benefit from a UHN Dental Oncology referral.
4. It is advised to consult with the patient's healthcare team to determine if a referral to UHN Dental Oncology is necessary in their specific case.

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What is uhn dental oncology referral?

UHN Dental Oncology Referral is a process in which patients with cancer are referred to dental specialists for evaluation and treatment before starting cancer therapy.

Who is required to file uhn dental oncology referral?

Dental professionals and oncologists are required to file UHN Dental Oncology Referral for their patients who are undergoing cancer treatment.

How to fill out uhn dental oncology referral?

UHN Dental Oncology Referral can be filled out by providing patient information, medical history, cancer diagnosis, treatment plan, and details of dental evaluation.

What is the purpose of uhn dental oncology referral?

The purpose of UHN Dental Oncology Referral is to assess and address any dental issues that may impact the success of cancer treatment and overall health of the patient.

What information must be reported on uhn dental oncology referral?

Information such as patient name, contact information, cancer diagnosis, treatment plan, dental evaluation findings, and any necessary dental procedures must be reported on UHN Dental Oncology Referral.