Get the free Special Care Dentistry Referral (Adults) template

Please complete and post to: Patient Administration Team, Bristol Dental School, 1 Trinity Quay, Avon Street, Bristol, BS2ACCEPTANCE CRITERIA Please be aware of our patient acceptance criteria, our

How to fill out special care dentistry referral

How to fill out special care dentistry referral

1. Obtain the special care dentistry referral form from your dental practice or relevant healthcare provider.
2. Provide patient details, including name, date of birth, and contact information.
3. Indicate the reason for the referral, specifying any special care needs or conditions.
4. Include relevant medical history and current medications to inform the receiving specialist.
5. Select the appropriate type of special care dentistry needed: sedation, behavioral management, or other specific treatments.
6. Sign and date the referral form.
7. Submit the completed form to the designated specialist or healthcare provider.

Who needs special care dentistry referral?

1. Individuals with physical or intellectual disabilities requiring specialized dental care.
2. Patients with severe anxiety or phobia related to dental treatment.
3. Children with special health care needs who require tailored dental approaches.
4. Individuals with complex medical conditions that complicate standard dental procedures.

What is Special Care Dentistry Referral (Adults) Form?

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What is special care dentistry referral?

Special care dentistry referral is a process through which a general dental practitioner refers a patient with specific needs or conditions to a specialist who is trained to provide appropriate care.

Who is required to file special care dentistry referral?

Typically, general dentists who identify the need for specialized care for their patients are required to file a special care dentistry referral.

How to fill out special care dentistry referral?

To fill out a special care dentistry referral, a dentist must provide patient information, details regarding the patient's condition, rationale for the referral, and any pertinent medical history.

What is the purpose of special care dentistry referral?

The purpose of a special care dentistry referral is to ensure patients receive the appropriate specialized dental care they require due to complex medical conditions or disabilities.

What information must be reported on special care dentistry referral?

The referral must include patient demographics, medical history, specific dental issues, reasons for referral, and any relevant diagnostic information.