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UHBristol Primary Care Dental Service NHS England South (South West) Referral FormRequest for Assessment of Patients with Additional NeedsPlease note that if your referral does not meet the Primary
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How to fill out special care dentistry referral

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How to fill out special care dentistry referral

01
Obtain the referral form from the special care dentistry department or download it from their website.
02
Fill out the patient's personal information including name, date of birth, address, and contact number.
03
Provide details of the patient's medical history, any existing dental conditions, and medications they are currently taking.
04
Specify the reason for the referral and any specific requirements or accommodations needed for the patient.
05
Sign and date the referral form before submitting it to the special care dentistry department.

Who needs special care dentistry referral?

01
Patients with physical or intellectual disabilities that make it challenging for them to receive dental care in a traditional setting.
02
Patients with severe dental anxiety or phobias that require specialized care and sedation techniques.
03
Patients with complex medical conditions that require close monitoring during dental procedures.

What is Special Care Dentistry Referral for Community Dental ... Form?

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Special care dentistry referral is a process by which patients with complex medical conditions or disabilities are referred to specialists for dental treatment.
Dentists, physicians, or other healthcare providers may be required to file special care dentistry referral depending on the patient's condition.
Special care dentistry referral can be filled out by providing the patient's medical history, current condition, and specific needs for dental treatment.
The purpose of special care dentistry referral is to ensure that patients with complex medical conditions receive appropriate dental care from specialists.
Information such as patient's medical history, current condition, specific dental needs, and referring provider's contact details must be reported on special care dentistry referral.
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