Get Periodontal Evaluation

Filling out the periodontal evaluation form online is a crucial step in assessing your oral health. This guide will walk you through each section of the form, ensuring you understand how to accurately provide the necessary information.

Follow the steps to complete your periodontal evaluation form accurately.

1. Click the ‘Get Form’ button to access the periodontal evaluation form and open it in your editor.
2. Begin by entering your chart number in the designated space. This number is essential for tracking and referencing your evaluation.
3. Input the date of the evaluation. This date is important for your dental records.
4. Provide the patient’s name in the specified field; clarity here is vital for accurate documentation.
5. Check the appropriate quadrants for your case type, which ranges from gingivitis to advanced periodontitis. Be sure to select all that apply to your condition.
6. If you are undergoing treatment, note it under the treatment plan section where applicable.
7. Record any mobility indication for your teeth in the boxes provided, using the scale from initial to severe.
8. Fill in the tooth diagram as instructed, marking any relevant dental conditions like missing teeth or those needing extraction.
9. Complete the boxes documenting probing depths, including any observations related to bleeding or other symptoms.
10. Finally, ensure to provide your signature and the date upon completion of the evaluation, then save your changes.
11. Once all required fields are accurately filled, you can choose to download, print, or share your completed form.

Complete your periodontal evaluation online today to ensure your dental health is monitored effectively.