Get Smile Train Patient Medical Record Form

Filling out the Smile Train Patient Medical Record Form online is a crucial step in ensuring that patients receive the necessary support and care. This guide provides clear and supportive instructions for users to accurately complete the form while maintaining the confidentiality and integrity of personal health information.

Follow the steps to complete the Smile Train Patient Medical Record Form online:

1. Press the 'Get Form' button to open the Smile Train Patient Medical Record Form in your preferred online editor.
2. Begin by providing patient information. Input the patient record number, surname, given name, gender, date of birth, and race. Ensure that all fields are filled accurately to facilitate the processing of the record.
3. Next, complete the parent/guardian information section. Provide the surname, given name, and relationship of the parent or guardian to the patient. This information is essential for verifying consent.
4. In the family history section, answer questions regarding the mother's health during pregnancy and any complications during birth. Be truthful to ensure proper medical assessment.
5. Proceed to the diagnosis section. Include patient height, weight, and details about any previous surgeries related to cleft lip or palate. This information is vital for the medical team to understand the patient's history.
6. Fill out the intervention information with the date of admission, name of the surgeon, anesthesia method, and any surgical treatments conducted. Provide clarity on complications if any occurred during the procedure.
7. In the results section, attach photographic records as required. This includes pre-operative and post-operative photos, which are important for ongoing evaluations.
8. Finally, review all entered information for accuracy. Once confirmed, save the changes, download a copy for your records, print if necessary, or share as directed.

Start completing your Smile Train Patient Medical Record Form online today!