Get M Your Implant Passport - Straumann - Straumann

The M YOUR ImplAnt PASSPORT is an essential document that records important information about your dental implant procedure. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to successfully complete your implant passport form.

1. Click the ‘Get Form’ button to access the form and open it for editing.
2. Begin by filling out your personal information, including your name, date of birth, address, email, phone number, and insurance company. Make sure this information is accurate as it will be used for all follow-up appointments.
3. Proceed to the implant details section. For each implant you received, provide the relevant information: Type of implant, Diameter, Surface, and Material used. Ensure all fields are completed for each implant listed.
4. Next, record the Tissue Level and Bone Level options applicable to each implant. Select the appropriate options such as NNC, RN, NC, or RC based on your dentist’s guidance.
5. Document the Date of placement and Tooth position for each implant. It is important to include this information for proper follow-up and care.
6. Ensure that your surgical doctor provides their stamp next to the implant information, signifying the completion of the procedure.
7. Repeat the previous steps for each additional implant you may have received, ensuring all relevant details are captured.
8. Once all implant information is documented, fill out the section regarding the abutments and coping similarly, noting the Type, Date of placement, and related information.
9. Finally, review the completed document for accuracy. Once satisfied, you can save changes, download, print, or share the form as required.

Complete your implant passport online today to maintain accurate records of your dental procedures.