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                Get Invisalign Patient Transfer Authorization Form
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How to fill out the Invisalign Patient Transfer Authorization Form online
Filling out the Invisalign Patient Transfer Authorization Form online is a straightforward process that facilitates the transfer of patient records and responsibilities between doctors. This guide will provide you with step-by-step instructions to ensure a smooth submission.
Follow the steps to effectively complete the Invisalign Patient Transfer Authorization Form.
- Click 'Get Form' button to access the Invisalign Patient Transfer Authorization Form and open it in your editing platform.
- Begin by filling in the patient information section. Enter the patient's full name (last, first, and middle), patient number, gender, and date of birth in the designated fields.
- In the 'Release of Patient (Current Doctor)' section, select the option to transfer the patient out of your Invisalign Doctor Site. State the reason for the transfer and provide your name, signature, practice name, and practice address.
- Proceed to the 'Acceptance of Patient (New Doctor)' section. The new doctor should acknowledge acceptance of the patient by filling out their name and signature, along with their practice name and address.
- If applicable, fill in any specific designations for the customer care representative handling the transfer.
- Finally, review all provided information for accuracy, make any necessary edits, and save the form. You can choose to download, print, or share the completed form for submission.
Take action now and complete your Invisalign Patient Transfer Authorization Form online to ensure a timely and effective transfer process.
You can certainly go to a different dentist for your Invisalign treatment. Just remember to fill out the Invisalign Patient Transfer Authorization Form to ensure a smooth transition. This form allows your new dentist to access necessary information about your treatment, guaranteeing continuity in your orthodontic care.
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