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OREGON MOBILE DENTISTRY Patient Information Patient Name: ______LAST______MIPREFERRED NAMEFIRSTDate of Birth: ___ Sex: MaleFemalePhone: ___ Email: ___Primary Care Physician:___ PCP Phone:___ PCP Fax:___
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How to fill out oregon mobile dentistry home

01
Contact a mobile dentistry provider in Oregon to inquire about their services.
02
Schedule an appointment for a home visit by the mobile dentistry team.
03
Provide information about your dental history and any specific concerns or issues you may have.
04
Be prepared to provide a clean and comfortable space for the dental team to work in.
05
Follow any post-appointment instructions provided by the mobile dentistry team.

Who needs oregon mobile dentistry home?

01
Individuals who have difficulty traveling to a traditional dental office due to physical limitations or health issues.
02
Patients who prefer the convenience and comfort of receiving dental care in their own home.
03
Elderly individuals who may have mobility issues or cognitive impairments that make it challenging to visit a dental office.
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Oregon Mobile Dentistry Home refers to a dental practice model that provides dental services at patients' homes, primarily targeting individuals who may have difficulty accessing traditional dental clinics.
The operators of mobile dental practices in Oregon are required to file the Oregon Mobile Dentistry Home form, which may include dentists and dental hygienists providing services in a mobile setting.
To fill out the Oregon Mobile Dentistry Home form, practitioners need to provide information about their mobile dental practice, including their contact information, services offered, and compliance with state regulations.
The purpose of Oregon Mobile Dentistry Home is to ensure that mobile dental practices operate within the state's health guidelines and to provide accessible dental care to underserved populations.
The Oregon Mobile Dentistry Home report must include the practitioner’s details, types of services provided, locations serviced, patient demographics, and compliance with health regulations.
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