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Ucsf oral surgery referral form

Ucsf dental referral form 2026

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The document is a referral form for the Oral and Maxillofacial Surgery Faculty Practice at UCSF, detailing the process for referring patients for various surgical procedures. It includes sections for patient information, reason for referral, x-ray handling, and a list of preferred surgeons with their qualifications and areas of expertise.

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Click ‘Get Form’ to open the UCSF Dental Referral Form in the editor.
Begin by entering today’s date at the top of the form. This helps track when the referral was made.
Fill in the 'Introducing Patient' section with the patient's name, phone number, and email address for easy communication.
In the 'Reason for Referral' section, select one or more options that best describe the patient's needs, such as wisdom teeth extraction or implants.
Indicate how X-rays will be handled by checking one of the options provided. This ensures proper documentation.
Complete the 'Teeth To Be Treated' section by marking the relevant teeth on both the chart and odontogram provided.
Finally, fill out your information in the 'Referring Doctor' section, including your name, phone number, email, and street address to facilitate follow-up.

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2016	4.8 Satisfied (260 Votes)

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How to get into UCSF dental?

General Requirements 93 semester units or 139 quarter units completed at an accredited U.S. or English-speaking Canadian institution. A minimum cumulative GPA of 3.0. A minimum science GPA of 2.7. A competitive score on the Dental Admission Test (DAT)

Do I need a referral to see a dental specialist?

Many insurance plans require referrals prior to seeing any specialist which includes specialized dental procedures like oral surgery. Without a proper referral, you may face challenges in obtaining coverage for your treatment.

How do I schedule a dental appointment at UCSF?

You may be eligible for self-scheduling on UCSF Dental MyChart App. If you are unable to self-schedule, call (415) 476-3028 for assistance. Mon - Fri: 8 a.m.-5 p.m. Mon: 8 a.m.-5 p.m.

How to schedule an appointment at UCSF?

There are three ways to make an appointment at UCSF 360: Call our front desk at (415) 353-2119. If you are a new patient, please ask for the New Patient Coordinator. You can request an appointment online via MyChart. You can request your next appointment at the front desk next time you are at the clinic.

How to get a referral to UCSF?

Refer a Patient Get help making referrals. Physician Referral Services. (800) 444-2559. (415) 353-4395. Transfer a patient. Transfer Center. (415) 353-9166. Open 24 hours a day, every day. Transfer a labor and delivery patient. Access Center. (877) 822-4453. Refer a patient who lives outside the U.S. (415) 353-8489. (415) 353-8603.

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How hard is it to get into UCSF dental?

How hard is it to get into UCSF Dental School? Its very competitive. UCSF looks for applicants with high GPAs (3.6+), strong DAT scores (22+), and meaningful experience in dentistry, like shadowing, volunteering, or research. They also value diversity, leadership, and service.

How do I make an appointment at UCSF Dental Clinic?

Current patients please call (415) 476-1891 to schedule an appointment. Mon: 8 a.m.-5 p.m. Tue: 8 a.m.-5 p.m. Wed: 8 a.m.-5 p.m.

How do you set up a dental appointment?

You can simply call an office or make a booking online. Its best to schedule your dentist appointment over the phone if you have a lot of questions. It can be comforting to hear a human voice confirm that your appointment is scheduled. For other situations, making a reservation online is preferable.

Ucsf dental referral form 2026

Here's how it works

How to use or fill out ucsf dental referral form with our platform

See more ucsf dental referral form versions

Complete this form in 5 minutes or less

Got questions?

How to get into UCSF dental?

Do I need a referral to see a dental specialist?

How do I schedule a dental appointment at UCSF?

How to schedule an appointment at UCSF?

How to get a referral to UCSF?

Security and compliance

Complete this form in 5 minutes or less

People also ask

How hard is it to get into UCSF dental?

How do I make an appointment at UCSF Dental Clinic?

How do you set up a dental appointment?

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