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400 YORKTOWN ROAD, SANDHURST BERKSHIRE, GU47 0PR TELEPHONE: 01276 33363 admin@academydental.co.uk www.academydental.co.ukEndodontic Referral Form REFERRING PRACTITIONER: NAME: ADDRESS: POSTCODE: TEL:FAX:MOBILE:EMAIL:PATIENT
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How to fill out endodontic form-01cdr
How to fill out endodontic form-01cdr
01
Start by obtaining the endodontic form-01cdr.
02
Read the instructions thoroughly before filling out the form.
03
Begin the form by providing your personal information, including your name, contact details, and any relevant identification numbers.
04
Specify the date on which you are filling out the form.
05
Next, you will need to indicate the tooth or teeth involved in the endodontic procedure.
06
Provide the diagnosis and treatment plan for the patient.
07
If applicable, indicate the tooth's vitality status and any radiographic findings.
08
Record other relevant information such as previous treatment history and medications used.
09
In the conclusion section, provide additional remarks or recommendations as necessary.
10
Finally, review the filled-out form to ensure accuracy and completeness before submitting it.
Who needs endodontic form-01cdr?
01
Endodontic form-01cdr is required by dentists or endodontists who perform endodontic procedures.
02
It helps in documenting the patient's information, diagnosis, treatment plan, and any other relevant details.
03
This form is essential for maintaining accurate and comprehensive records of endodontic treatments.
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What is endodontic form-01cdr?
Endodontic form-01cdr is a form used to report endodontic procedures performed by dentists.
Who is required to file endodontic form-01cdr?
Dentists who perform endodontic procedures are required to file endodontic form-01cdr.
How to fill out endodontic form-01cdr?
Endodontic form-01cdr can be filled out electronically or manually with all the required information about the endodontic procedures.
What is the purpose of endodontic form-01cdr?
The purpose of endodontic form-01cdr is to track and monitor endodontic procedures performed by dentists for quality assurance purposes.
What information must be reported on endodontic form-01cdr?
Information such as patient details, tooth treated, type of procedure, and date of procedure must be reported on endodontic form-01cdr.
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