UIC COLLEGE OF DENTISTRY PATIENT REFERRAL Please provide all of the information below and fax this form to: DEPARTMENT OF PERIODONTICS ROOM 331 801 S PAULINA ST CHICAGO, IL 60612 3129967374 (Office).
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How to fill out the UIC Oral Surgery Referral online
This guide provides clear and supportive instructions for completing the UIC Oral Surgery Referral form online. It will walk you through each section and field of the form to ensure you provide all necessary information accurately.
Follow the steps to successfully complete the referral form.
- Click the ‘Get Form’ button to access the UIC Oral Surgery Referral form and open it in your preferred editor.
- Begin by entering the date of referral in the designated field. This helps to establish the timeline for the referral process.
- Fill in the referring practice and provider information. Include the practice name, the referring doctor's name, their phone number, and email address. This is crucial for communication between the referring provider and the oral surgery department.
- Provide the patient information. Enter the patient's name, date of birth, and gender. If the patient is a minor, include the parent or guardian's name.
- Complete the home address section with the patient's full address, including city, state, and ZIP code. This ensures accurate identification and contact.
- Include the patient's phone number and email address, which will be used for any necessary communication regarding their referral.
- Indicate the patient's insurance plan or provider. This information is essential for billing and insurance purposes.
- Answer how long the patient has been with your practice. This provides context for the referral.
- Check all applicable reasons for the referral from the provided list. This helps the oral surgery department understand the patient's needs and urgency.
- If relevant, specify the tooth or region number affected in the referral context.
- Optionally, include any additional documentation such as photos, X-rays, or scans, if available. Attach these documents in the indicated section.
- Lastly, provide a brief description or any additional comments that may assist the oral surgery department in understanding the patient’s situation better.
- Once all required fields are filled out, review the form for accuracy. Save your changes, then download, print, or share the completed form as necessary.
Complete your UIC Oral Surgery Referral online today for efficient processing.
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What is a dental referral?
The referral management service exists to ensure that patients are seen in the most appropriate settings for their care needs. Your referral will be assessed by a clinician who will determine, from the information provided by your dentist, where this is.
Do dentists do referrals?
The referral management service exists to ensure that patients are seen in the most appropriate settings for their care needs. Your referral will be assessed by a clinician who will determine, from the information provided by your dentist, where this is.
What is a referral letter from a dentist?
A referral is essentially a request for assistance regarding a patient, from an appropriate colleague. This may be a referral from primary care to secondary care or occasionally between clinicians in secondary care. Common principles apply to both.
How do I ask for a referral from a dental office?
The best time to ask for a referral or review is to ask patients after they have said something positive about your office, one of the team members, or the dentist. When a patient says something positive, the team member should immediately respond with a thank you, and then ask them to share that information.
Can my GP refer me for dental treatment?
While GPs are not able to treat dental conditions, they can provide urgent and necessary medical treatment if the patient is not able to contact a dentist. As with any consultation, it's important to keep a record of any treatment and advice you provide to the patient.
Why would a dentist refer you?
A dentist will normally refer patients to an oral surgeon for issues such as treatment of wisdom teeth, complex extractions, correction of congenital growth defects or if you have a complicated medical history.
How do I get referred to another NHS dentist?
If after contacting several dental practices you still can't find a dentist accepting NHS patients, you should call NHS England's Customer Contact Centre on 0300 311 2233.
How do I ask for a referral from a dentist?
The best time to ask for a referral or review is to ask patients after they have said something positive about your office, one of the team members, or the dentist. When a patient says something positive, the team member should immediately respond with a thank you, and then ask them to share that information.
What does a dental referral mean?
The referral management service exists to ensure that patients are seen in the most appropriate settings for their care needs. Your referral will be assessed by a clinician who will determine, from the information provided by your dentist, where this is.
Does UIC remove wisdom teeth?
We specialize in surgical treatment for children and adults to remove decayed and impacted teeth including third molars (wisdom teeth), difficult tooth extractions, and extractions on medically-compromised patients.
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