How to use or fill out form 14 oral health centre with our platform
- Click ‘Get Form’ to open it in the editor.
- Begin by selecting the referring source from the provided options, such as ALB, ARM, or any other relevant choice. This helps identify where the referral is coming from.
- Fill in the referring dentist's name and registration number in the designated fields to ensure proper identification of the provider.
- Enter the patient's name (surname and given name) along with their date of birth and address. Accurate patient information is crucial for effective processing.
- Provide contact details including telephone number and mobile number, ensuring that all information is up-to-date for communication purposes.
- Indicate the reason for referral by checking the appropriate box, such as ENDO or ORAL SURG., and specify urgency level (HIGH, MEDIUM, WAITING LIST).
- If applicable, detail any relevant medical history that may impact treatment decisions. This section is vital for comprehensive patient care.
- For oral surgery referrals, specify the number of teeth involved and whether general anaesthetic is required. Include any additional notes as necessary.
- Finally, sign and date the form to validate it before submission. Ensure all required documents are attached as indicated at the bottom of the form.
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