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Get Vsp Orthognathics Order Form
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How to fill out the VSP Orthognathics Order Form online
This guide provides users with detailed instructions on how to properly complete the VSP Orthognathics Order Form online. Following these steps will ensure that your submission is accurate and complete, minimizing any potential delays.
Follow the steps to successfully complete the VSP Orthognathics Order Form.
- Press the ‘Get Form’ button to retrieve the VSP Orthognathics Order Form and open it in your preferred editing platform.
- In the 'Case Information' section, enter the surgeon's name, the patient's name or identifier, and the contact person's name. Additionally, fill in the surgery date, phone number, rigid fixation vendor, and email address. Ensure that you provide a return shipping address along with the city, state, and zip code.
- Proceed to the 'Clinical Measurements' area. If you have a clinical measurement worksheet, attach it; if not, complete this section by indicating the upper dental midline deviation measured in millimeters. Also, specify the answers to the related eye and ear dystopia questions.
- In the 'Planned Surgical Methods' subsection, check the appropriate surgical methods being planned, such as single jaw surgery or double jaw surgery. Further, specify any relevant details about the surgeries including types of LeFort procedures or other methods if applicable.
- If applicable, provide notes in the designated notes section for any additional information relevant to the case.
- Once all sections are completed, review the form for accuracy. Save any changes made, then download the filled form. Users can opt to print the document or share it directly as instructed.
Complete your documents online now to ensure timely processing.
Derived from CT data for excellent reconstructive results. Intended for the replacement of bony voids in the cranial/ craniofacial skeleton. Synthes Patient Specific Implants are derived from 1 mm slice DICOM uncompressed CT data, which is obtained from the hospital radiology department.
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