Get the free Intermediate oral surgery referral form - Surrey LDC - surreyldc org

Oral Surgery Referral Form (PLEASE COMPLETE ALL FIELDS) Patient s name Dr ? Mr ? Date of birth Mrs? Miss? Male / Female Ms ? Address (including postcode) Daytime telephone number Patients GP Practice

How to fill out intermediate oral surgery referral

How to fill out an intermediate oral surgery referral:

1. Start by clearly identifying the patient's personal information, such as their name, date of birth, address, and contact details. This will ensure that the referral is properly assigned to the correct individual.
2. Next, provide a brief summary of the patient's medical history, including any relevant pre-existing conditions, allergies, and current medications. This information is crucial for the oral surgeon to have a comprehensive understanding of the patient's health before proceeding with surgery.
3. Specify the reason for the referral, detailing the specific oral surgery procedure that needs to be performed. Be as specific as possible and include any relevant diagnostic findings or X-ray results to support the need for the referral.
4. If applicable, indicate the urgency of the referral. Some oral surgeries may require immediate attention, while others can be scheduled at a later date. Clearly communicating the level of urgency will assist the oral surgeon in prioritizing the patient's case.
5. Include any other relevant information that may assist the oral surgeon in providing appropriate care. This could include any specific concerns or preferences expressed by the patient, such as their preference for a certain type of anesthesia or any additional information that may be helpful during the surgery.

Who needs an intermediate oral surgery referral:

1. Patients with complex dental conditions that require specialized expertise beyond the scope of general dentistry may need an intermediate oral surgery referral.
2. Individuals who require procedures such as wisdom teeth extraction, dental implants, or corrective jaw surgery would typically need a referral to an oral surgeon.
3. Patients with certain medical conditions, such as bleeding disorders or compromised immune systems, may also require an intermediate oral surgery referral to ensure their safety during the procedure.

Ultimately, the decision to refer a patient to an oral surgeon depends on the specific needs and circumstances of the individual case. It is important for the referring dentist to carefully evaluate the patient's needs and consult with the oral surgeon to determine the best course of treatment.

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