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Click ‘Get Form’ to open it in the editor.
Begin by filling out the 'PATIENT DETAILS' section. Ensure you print in block capitals for clarity. Include the patient's name, date of birth, address, and contact information.
In the 'REASON FOR REFERRAL' section, tick the appropriate boxes that apply to the patient's needs, such as Implants or Oral Surgery.
Next, complete the 'REFERRER DETAILS' section. Provide your name as the referring practitioner, practice address, and contact details. Indicate if treatment will be under local anaesthetic, sedation, or general anaesthetic.
Fill out the 'REFERRAL DETAILS' and 'MEDICAL HISTORY' sections with comprehensive information about any patient requirements and relevant medical history.
Lastly, confirm you have the patient’s consent to share this information by ticking the box and signing at the bottom of the form.

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What services does Parkway Clinic Swansea offer?

The patient should leave the primary care office with a referral to a specific dentist or dental office with which the primary care practice has a referral agreement. Instructions should make it clear to the patient what to do, what to expect, and whom to contact if problems arise.

What is the dental code for referral to specialist?

OUR FLAGSHIP TREATMENTS COMPOSITE VENEERS. LEARN MORE. SMILE MAKEOVER. LEARN MORE. TEETH WHITENING. LEARN MORE. TEETH STRAIGHTENING. LEARN MORE. DENTAL IMPLANTS. LEARN MORE. SLEEP DENTISTRY. LEARN MORE.

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.

Why do dentists do referrals?

This is to make sure that all dental patients receive the best possible care. Dental referrals are standard practice and arent a reflection of the abilities of the referring dentist.

When would a dentist refer a patient to a specialist?

Your general Dentist may refer you to a Specialist dentist when your treatment requires advanced expertise or technology beyond everyday routine dental care. This ensures you get the highest standard of treatment for more complex or specialised dental conditions.

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