Get the free OHSU Dental Clinics Referral Form 2024 DRAFT.3

OHSU Dental Clinics Patient Referral InformationDate: ___We should receive, process, and review the referral within 24 weeks. We will reach out to the patient as soon as possible. If the patient is

How to fill out ohsu dental clinics referral

How to fill out ohsu dental clinics referral

1. Obtain the OHSU Dental Clinics referral form from the clinic's website or front desk.
2. Fill out the patient's personal information at the top of the form, including name, date of birth, and contact information.
3. Provide the reason for the referral, describing the dental issue or treatment needed.
4. Include any relevant medical history or current medications that may affect dental treatment.
5. Enter the referring provider's information, including name, contact number, and practice details.
6. Check the eligibility for dental benefits or insurance coverage, if applicable.
7. Review the form for completeness and accuracy.
8. Submit the completed referral form to OHSU Dental Clinics via email, fax, or in person.

Who needs ohsu dental clinics referral?

1. Patients requiring specialized dental care beyond their primary dentist's capabilities.
2. Individuals with complex dental conditions needing advanced treatment.
3. Patients seeking opinions from dental specialists regarding diagnosis and treatment options.
4. Those who require coordinated care involving multiple dental professionals.

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What is ohsu dental clinics referral?

OHSU dental clinics referral is a process through which a patient is referred to a dental specialist at Oregon Health & Science University for further evaluation or treatment.

Who is required to file ohsu dental clinics referral?

Health care providers, including primary care physicians and general dentists, are required to file OHSU dental clinics referrals for patients needing specialized dental care.

How to fill out ohsu dental clinics referral?

To fill out an OHSU dental clinics referral, the referring provider must complete the referral form with patient information, reason for referral, and any relevant medical history before submitting it to the OHSU dental clinic.

What is the purpose of ohsu dental clinics referral?

The purpose of OHSU dental clinics referral is to ensure that patients receive appropriate and specialized dental care based on their specific needs.

What information must be reported on ohsu dental clinics referral?

The information that must be reported includes patient demographics, referring provider details, reason for referral, and relevant medical or dental history.