PATIENT IN ACTIVE TREATMENT 2025

1. Click ‘Get Form’ to open the PATIENT IN ACTIVE TREATMENT document in the editor.
2. Begin by entering the patient's name, birth date, and social security number in the designated fields. This information is crucial for identifying the patient and their treatment history.
3. Fill out the responsible party's details, including their relationship to the patient and contact information. This ensures that all communications regarding treatment can be directed appropriately.
4. In the ANALYSIS section, provide a comprehensive overview of significant history and any concerns related to temporomandibular disorders (TMD). This helps in tailoring the treatment plan effectively.
5. Detail the TREATMENT PLAN, including chronology and specifics about appliances used. Be sure to note dates for bands/brackets placement and current archwire specifications.
6. Complete sections on PATIENT COOPERATION and ACTIVE TX TIME ESTIMATES to assess progress and cooperation levels during treatment.
7. Finally, review all entries for accuracy before saving or sharing your completed form. Utilize our platform’s features for easy signing and distribution.

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