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FOR INTERNAL USE ONLY INTERNAL USE ONLYORTHOPLEASE CALL Phone #: (Selecting call for consultation will delay production/turnaround time) Phone: (619) 7246400 Fax: 619.724.6401 MTV: 8am 4pm P.S.T.

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How to fill out diamond orthotic tmd order

01

To fill out a Diamond Orthotic TMD order, follow these steps:

02

Start by providing the patient's personal information, including their name, address, phone number, and email.

03

Next, specify the referring doctor's details, such as their name, address, and contact information.

04

Indicate the treating doctor's information, including their name, address, and contact details.

05

Enter the patient's medical history, including any relevant information about their TMJ disorder.

06

Provide details about the patient's symptoms, such as pain location, intensity, and duration.

07

Specify any relevant diagnostic results, such as X-rays, MRI scans, or dental impressions.

08

Select the appropriate Diamond Orthotic product and indicate the desired features, such as material type and thickness.

09

Add any additional instructions or comments that may be relevant to the order.

10

Finally, review the completed form for accuracy and ensure all necessary information has been provided.

11

Submit the completed Diamond Orthotic TMD order form to the appropriate contact at Diamond Orthotics.

Who needs diamond orthotic tmd order?

01

The Diamond Orthotic TMD order is typically needed by individuals suffering from temporomandibular joint (TMJ) disorders or related conditions.

02

These individuals may experience symptoms such as jaw pain, headaches, facial pain, clicking or popping sounds in the jaw joint, limited jaw movement, or difficulty in chewing or speaking.

03

TMD can be caused by various factors, including trauma, misalignment of the teeth or jaw, stress, or a combination of factors.

04

The Diamond Orthotic TMD order helps provide customized orthotic devices that can support the jaw, alleviate pain, and improve jaw function for individuals with TMJ disorders.

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What is diamond orthotic tmd order?

Diamond orthotic tmd order is a form that is used to request custom dental appliances for patients with Temporomandibular Joint Disorder (TMD).

Who is required to file diamond orthotic tmd order?

Dentists or orthodontists who are treating patients with Temporomandibular Joint Disorder (TMD) are required to file diamond orthotic tmd order.

How to fill out diamond orthotic tmd order?

Diamond orthotic tmd order can be filled out by providing patient information, diagnosis of TMD, treatment plan, and customization details for the dental appliance.

What is the purpose of diamond orthotic tmd order?

The purpose of diamond orthotic tmd order is to provide a custom dental appliance to help alleviate symptoms of Temporomandibular Joint Disorder (TMD) for the patient.

What information must be reported on diamond orthotic tmd order?

Patient information, diagnosis of TMD, treatment plan, and customization details for the dental appliance must be reported on diamond orthotic tmd order.

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