Get Ca Dc016 2018-2025

The CA DC016 is a vital document used for assessing the handicapping labio-lingual deviation index as part of the orthodontic services qualification process. This guide will provide you with comprehensive steps to complete the form efficiently and accurately, ensuring all necessary information is properly recorded.

Follow the steps to fill out the CA DC016 form online.

1. Press the ‘Get Form’ button to access the form and open it in your editor.
2. Begin by entering the provider's name in the designated field.
3. Input the patient's name in the appropriate section.
4. Enter the patient's identification number and the date of assessment.
5. Position the patient’s teeth in centric occlusion as indicated.
6. Record all relevant measurements in order, rounding each to the nearest millimeter.
7. For conditions #1 through #6A, indicate presence by marking an 'X' and do not score further.
8. For condition #6B, record the overjet measurement, ensuring it is equal to or less than 9 mm.
9. Measure and record the overbite in mm, rounding as needed.
10. Evaluate mandibular protrusion and record the measurement if it is equal to or less than 3.5 mm, multiplying by 5 for scoring.
11. Document the measurement for open bite in mm, multiplying the score by 4.
12. Count ectopic eruption, entering tooth numbers and multiplying the total by 3.
13. Score anterior crowding by assessing maxillary and mandibular arches, ensuring to follow the scoring rules above.
14. Measure labio-lingual spread, inputting only the most severe deviation.
15. Indicate the presence of posterior unilateral crossbite, marking as necessary.
16. Review all inputs to ensure accuracy before finalizing.
17. Finally, save, download, print, or share the completed form.

Complete your documents online today for a smoother process.