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NEW PATIENT INFORMATION SHEET Many Ashraf, DDS Advanced Dental Care of Westchester Patients Name: ___(Please print)Date of Birth: ___/___/___Street Address: ___ Social Security #: _________ City,

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Schedule an appointment with a reputable dentist who specializes in advanced dental care.

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Arrive at the appointment with any relevant medical records and information about your dental history.

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Advanced dental care refers to comprehensive and specialized treatments aimed at improving oral health, which may include procedures like implants, crowns, bridges, and advanced orthodontics.

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Dentists and dental care providers who provide advanced dental treatments are typically required to file advanced dental care records.

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To fill out advanced dental care documentation, dental professionals must include patient details, treatment plans, procedures performed, and relevant medical history.

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The purpose of advanced dental care documentation is to ensure proper record-keeping for treatment provided, facilitate insurance claims, and maintain a standard of care.

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Information that must be reported includes patient's personal details, diagnosis, treatment procedures, dates of service, and dental provider's information.

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