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39863 Hwy 27 Davenport, FL 33837 phone: 8633536867 fax: 8633536869 DrShannonOrthodontics.com office@DrShannonOrthodontics.comDate:Introducing: Phone:Referring Doctor: Orthodontic consult Comments:Patient
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How to fill out shannon orthodontics - referral
How to fill out shannon orthodontics - referral
01
Obtain a referral form from Shannon Orthodontics.
02
Fill out all required fields on the referral form, including patient information, referring provider information, and reason for referral.
03
Provide any necessary supporting documentation, such as x-rays or medical records.
04
Submit the completed referral form to Shannon Orthodontics either in person or via fax or email.
Who needs shannon orthodontics - referral?
01
Individuals who require orthodontic treatment and have been referred by their dentist or other healthcare provider may need a Shannon Orthodontics referral.
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What is shannon orthodontics - referral?
Shannon Orthodontics - Referral is a form used to refer patients to Shannon Orthodontics for orthodontic treatment.
Who is required to file shannon orthodontics - referral?
Dentists, orthodontists, or other healthcare providers may be required to file Shannon Orthodontics - Referral when referring patients for orthodontic treatment.
How to fill out shannon orthodontics - referral?
Shannon Orthodontics - Referral typically requires information about the patient's medical history, dental records, and reason for referral.
What is the purpose of shannon orthodontics - referral?
The purpose of Shannon Orthodontics - Referral is to facilitate the transfer of patients to Shannon Orthodontics for specialized orthodontic care.
What information must be reported on shannon orthodontics - referral?
Information such as patient demographics, dental history, treatment goals, and any relevant medical conditions must be reported on Shannon Orthodontics - Referral.
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