Get Referral Form - Oral And Maxillofacial Surgery - University Of - Omfs Ucsf

Filling out the Referral Form for Oral and Maxillofacial Surgery at the University of California, San Francisco, is a straightforward process that facilitates communication between referring doctors and specialists. This guide provides an organized approach to completing the form online efficiently, ensuring that all necessary information is provided.

Follow the steps to successfully complete the referral form.

1. Press the ‘Get Form’ button to access the Referral Form for Oral and Maxillofacial Surgery, and open it in your preferred document editor.
2. Enter today’s date in the designated field. This is essential for tracking the referral timing.
3. In the ‘Preferred Surgeon’ section, select the referring surgeon by indicating their name as specified on the reverse side of the form.
4. Under ‘Introducing Patient,’ fill in the patient's complete name, phone number, and email address to ensure proper communication.
5. Indicate the reason for referral by checking the appropriate box, such as ‘Wisdom Teeth,’ ‘Implants,’ or other specified options. Include any notes regarding the preferred implant system or additional insights.
6. Select how the x-rays will be handled. Options include ‘E-Mailed,’ ‘Given to Patient,’ or ‘X-Rays Need to be Taken.’
7. Complete the section detailing the teeth to be treated. Make sure to accurately chart the teeth and fill in the odontogram.
8. In the ‘Referring Doctor’ section, provide your name, phone number, email, and street address to establish contact for any follow-up queries.
9. Once all required fields are filled, review the form for any errors or omissions.
10. Save your changes and either download, print, or share the completed form as needed.

Complete your referral forms online today to ensure timely patient care.