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WORLDWIDE DENTAL ACCIDENT AND EMERGENCY COVER CLAIM FORM for CODE plan Members Download an additional claim form or the Insurance Cover terms and conditions from agiliosoftware.com/dentalplansdentists.

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How to fill out dental accident and emergency

01

Call your dental office immediately to inform them of the accident and ask for an emergency appointment.

02

If the accident involves a knocked-out tooth, try to place the tooth back in its socket without touching the root, or store it in milk or saliva until you can see a dentist.

03

If there is bleeding, apply pressure with gauze or a clean cloth to stop the bleeding.

04

Take any pain medication as recommended by your dentist or healthcare provider.

05

Follow any post-treatment instructions provided by your dentist for optimal healing.

Who needs dental accident and emergency?

01

Anyone who experiences a dental injury or accident that requires immediate attention and cannot wait for a regular dental appointment.

02

People who have severe tooth pain, swelling, or bleeding that cannot be managed at home.

03

Individuals who have experienced trauma to the mouth or teeth due to a sports injury, fall, or other accident.

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What is dental accident and emergency?

Dental accident and emergency refers to situations where a person experiences a dental emergency or injury that requires immediate attention from a dentist.

Who is required to file dental accident and emergency?

Patients who have experienced a dental accident or emergency are required to file a report with their dentist.

How to fill out dental accident and emergency?

To fill out a dental accident and emergency report, patients should provide details about the incident, any symptoms experienced, and relevant medical history.

What is the purpose of dental accident and emergency?

The purpose of dental accident and emergency reports is to ensure that patients receive proper treatment for dental emergencies and injuries.

What information must be reported on dental accident and emergency?

Patients should report details of the accident, any pain or symptoms experienced, any previous dental issues, and any relevant medical history.

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