Get the free Referral for Orthodontic Treatment

This document is a referral form for orthodontic treatment under the SoonerCare program, specifying the requirements for evaluation and the assessment of caries risk. It includes necessary patient information, dentist details, and criteria for determining the need for comprehensive orthodontic care based on dental health and history.

How to fill out referral for orthodontic treatment

How to fill out referral for orthodontic treatment

1. Obtain the referral form from the orthodontist's office or website.
2. Fill in the patient's personal information including name, age, and contact details.
3. Provide the referring dentist's information, including name and practice address.
4. Describe any specific concerns or issues related to the patient's dental health.
5. Include any relevant medical history to assist the orthodontist.
6. Sign and date the referral form.
7. Send the completed form to the orthodontist's office via mail, fax, or email as instructed.

Who needs referral for orthodontic treatment?

1. Individuals experiencing dental alignment issues, such as crooked teeth or bite problems.
2. Children with emerging dental issues that may require early intervention.
3. Patients referred by a general dentist after an examination indicating orthodontic treatment is necessary.
4. Adults seeking cosmetic improvement in their smile through orthodontic procedures.

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What is referral for orthodontic treatment?

A referral for orthodontic treatment is a formal recommendation from a dental professional, typically a general dentist, to an orthodontist for the assessment and potential treatment of dental alignment issues.

Who is required to file referral for orthodontic treatment?

Typically, a general dentist or another healthcare provider who identifies orthodontic issues in a patient is required to file the referral.

How to fill out referral for orthodontic treatment?

To fill out a referral for orthodontic treatment, the referring provider needs to complete a referral form, which usually includes patient information, dental health history, and specific concerns needing orthodontic evaluation.

What is the purpose of referral for orthodontic treatment?

The purpose of the referral is to ensure that patients receive specialized orthodontic evaluation and treatment for dental and jaw alignment problems that may not be handled by general dentistry.

What information must be reported on referral for orthodontic treatment?

The information that must be reported includes the patient's demographics, dental history, current dental issues, clinical findings, and any prior treatments.