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Lancashire and South CumbriaSpecialist Pediatric Dentistry Referral Form (June 2019) 1. Patient Details: NHS Number (if known):DOB:Title:Patients First Name:Patients Last Name:Address:Town or City:Postcode:Gender:MaleFemalePreferred
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How to fill out specialist paediatric dentistry referral

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How to fill out specialist paediatric dentistry referral

01
Collect all necessary information and documents such as the patient's medical history, dental records, and any relevant X-rays or images.
02
Identify the appropriate specialist paediatric dentistry referral form provided by the dental healthcare system or organization you are affiliated with.
03
Fill out the patient's personal information accurately, including their full name, date of birth, address, and contact details.
04
Specify the reason for the referral and provide detailed information about the patient's dental condition, including any specific concerns or symptoms.
05
Include any relevant medical conditions or allergies the patient may have that could impact their dental treatment.
06
If applicable, provide the names and contact details of the patient's parents or guardians who should be involved in the dental care process.
07
If necessary, attach any supporting documents or images that are essential for the specialist paediatric dentist to assess the patient's condition.
08
Double-check all the information filled in the referral form for accuracy and completeness.
09
Submit the completed referral form to the designated department or specialist paediatric dentistry practice as per the guidelines provided by your dental healthcare system or organization.
10
Follow up with the patient and the specialist paediatric dentist to ensure that the referral has been received and that appropriate dental care is being provided.

Who needs specialist paediatric dentistry referral?

01
Specialist paediatric dentistry referral is typically required for children and adolescents who have complex dental issues or require specialized treatment.
02
Examples of individuals who may need a specialist paediatric dentistry referral include:
03
Children with severe dental trauma or injuries.
04
Patients with congenital craniofacial abnormalities or developmental disorders.
05
Individuals with extensive dental decay or gum disease requiring advanced treatment techniques.
06
Children with special healthcare needs who require a dentist with specialized skills and knowledge.
07
Patients requiring orthodontic treatment for malocclusions or jaw abnormalities.
08
Individuals in need of oral surgery, such as tooth extractions or corrective jaw surgery.
09
It is important to consult with a primary dentist or dental professional to determine if a specialist paediatric dentistry referral is necessary for a particular case.
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Specialist paediatric dentistry referral is a process by which a patient is referred to a specialist in paediatric dentistry for advanced dental care.
Dental professionals or healthcare providers who determine that a patient requires specialized care in paediatric dentistry are required to file a referral.
To fill out a specialist paediatric dentistry referral, the referring provider must complete the necessary forms with the patient's information, reasons for referral, and any relevant medical history.
The purpose of specialist paediatric dentistry referral is to ensure that patients receive specialized dental care tailored to their unique needs and conditions.
Information such as patient demographics, medical history, reason for referral, referring provider details, and any relevant clinical notes must be included in the specialist paediatric dentistry referral.
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