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Western Health The Dental Center 795 E Second St, Suite 8 Pomona, CA 917662007 T: 909.706.3910 F: 909.469.8650Periodontal Treatment Referral Patients Name (Please print)Doctors Name (Please print)______Patient
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How to fill out periodontal treatment referralwesternu health

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How to fill out periodontal treatment referralwesternu health

01
Contact WesternU Health to schedule an appointment for a periodontal evaluation.
02
During the evaluation, provide your complete medical history and any relevant dental records.
03
Discuss with the periodontist any symptoms or concerns you may have regarding your gum health.
04
Follow any treatment recommendations provided by the periodontist.
05
Ensure to attend follow-up appointments as needed to monitor progress and adjust treatment plan if necessary.

Who needs periodontal treatment referralwesternu health?

01
Individuals experiencing symptoms of gum disease such as bleeding gums, swollen gums, bad breath, or loose teeth.
02
Patients with a history of gum disease or those at risk of developing gum disease due to poor oral hygiene or other health conditions.
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Periodontal treatment referral at WesternU Health involves directing patients to specialized care for gum diseases and conditions affecting the supporting structures of the teeth.
Dentists and dental health professionals who identify periodontal issues that require specialized treatment are required to file a referral.
To fill out a periodontal treatment referral, complete the designated referral form with patient details, diagnostic findings, and reasons for the referral.
The purpose is to ensure that patients receive appropriate and timely specialized treatment for periodontal disease, enhancing their overall oral health.
The referral must include patient demographics, clinical findings, treatment history, and specific periodontal issues that necessitate the referral.
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