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Please complete and send to: Taunton: Restorative Department, Musgrove Park Hospital, Park field Dr, Taunton TA1 5DA Tel: 01823 342 054/170 Email: restorativereferrals.mph@somersetft.nhs.ukBristol:
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The periodontal referral form is a document used to refer a patient to a periodontist for specialized treatment related to gum disease.
Dentists or dental professionals who determine that a patient requires specialized periodontal treatment.
The form must be completed with the patient's personal information, reason for referral, current treatment plan, and any relevant medical history.
The purpose is to ensure that patients receive appropriate and timely periodontal treatment from a specialist.
Patient's name, contact information, reason for referral, current treatment plan, medical history, and any relevant diagnostic findings.
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