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  • Abbeymead Opg Buddy Scheme Chertsey

Get Abbeymead Opg Buddy Scheme Chertsey

For use from 1st July 2011 Request form for OPG Buddy Scheme Radiograph All boxes below must be completed Name of referring dentist Practice name Address Signature Referring Practice Post code tel.

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How to fill out the Abbeymead OPG Buddy Scheme Chertsey online

Filling out the Abbeymead OPG Buddy Scheme Chertsey form is an essential process for healthcare professionals seeking to request OPG radiographs for their patients. This guide provides clear, step-by-step instructions on how to complete the form accurately and efficiently.

Follow the steps to complete the Abbeymead OPG Buddy Scheme Chertsey form online.

  1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
  2. In the first section, enter the name of the referring dentist, followed by the practice name and address. Ensure that all information is accurate to facilitate proper processing.
  3. Fill in the referring practice's postcode, telephone number, and email address to ensure direct communication for the digital copy.
  4. Provide the patient's details, including their full name, date of birth, address, postcode, and telephone number. It is crucial that this information is complete for identification purposes.
  5. Next, fill in the medical history/observations section by including details about the patient's medical practice, such as the name, address, postcode, and telephone number.
  6. In the section requesting the OPG radiograph, clearly state the clinical reasons for the radiographic exposure, along with whether the patient will be referred to the DARS service for an extraction.
  7. Provide a brief description of the patient's condition to further illustrate the necessity of the radiograph, using clear and concise language.
  8. Indicate whether you are requesting the buddy service for the OPG X-ray instead of another intraoral view, providing justification if 'No'.
  9. Review all filled information for accuracy and completeness before proceeding to finalize your form.
  10. Once satisfied, you can save your changes, download the completed form, print it, or share it as needed for submission.

Complete your Abbeymead OPG Buddy Scheme Chertsey form online today for seamless processing.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232