№ lp_1_2_43603
Administrative healthcare referral form used within the NHS for submitting clinical and medical information to a regional specialist paediatric dental service for assessment and treatment consideration.
Document type: Referral form
Service name: Hull and East Riding Specialist Paediatric Dental Service
Healthcare system: National Health Service
Patient age range: 0–16 years
Geographic coverage: Hull and East Riding of Yorkshire
Referring professionals: Dentists
Recipient service: Community Dental Referral Service
Associated institution: NHS
Required attachments: Radiographic images
Medical scope: Paediatric dentistry
Safeguarding considerations: Looked after children and safeguarding concerns
Clinical areas covered: Dental caries, dental trauma, dental development conditions, complex medical and physical conditions
Includes: Medical history questionnaire
Consent requirement: Patient or legal guardian agreement
Administrative elements: Referrer declaration and signature
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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