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Dr. Katherine Pauly, DDS, MSD Endodontic Specialist1321 Millersport HWY, Suite 202 Williamsville, NY 14221 Phone & Fax: 716612ENDO (3636) relief@eriecanalendo.com www.eriecanalendo.com Patient\'s
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How to fill out erie canal endodontics referral
How to fill out erie canal endodontics referral
01
Obtain the referral form from Erie Canal Endodontics.
02
Fill out the patient's personal information including name, date of birth, and contact information.
03
Provide details of the referral reason and any relevant dental history.
04
Make sure to include any necessary documentation such as X-rays or scans.
05
Sign and date the referral form before submitting it to Erie Canal Endodontics.
Who needs erie canal endodontics referral?
01
Patients who require specialized endodontic treatment such as root canals or apicoectomies.
02
Dentists who are referring their patients for advanced endodontic care.
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What is erie canal endodontics referral?
Erie Canal Endodontics referral is a form that refers a patient to an endodontist for specialized dental treatment.
Who is required to file erie canal endodontics referral?
Dentists or dental professionals who believe a patient requires specialized endodontic treatment are required to file Erie Canal Endodontics referral.
How to fill out erie canal endodontics referral?
To fill out Erie Canal Endodontics referral, the dental professional needs to provide patient's information, reason for referral, and any relevant dental history.
What is the purpose of erie canal endodontics referral?
The purpose of Erie Canal Endodontics referral is to ensure patients receive specialized endodontic care when necessary.
What information must be reported on erie canal endodontics referral?
Information such as patient's name, contact information, reason for referral, and any relevant dental history must be reported on Erie Canal Endodontics referral.
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