№ files_lp_3_process_7_090297
Standardized NHS referral form issued under South West MCN guidelines for transferring patients to hospital-based restorative dentistry departments in Taunton, Bristol, and Plymouth.
Region: South West England
Cities: Taunton; Bristol; Plymouth
Institutions: Musgrove Park Hospital; Bristol Dental Hospital; University Hospital Plymouth
Medical Specialty: Restorative Dentistry
Document Type: Patient Referral Form
Issuing Body: South West MCN
Healthcare System: NHS
Addressees: General Dental Practitioners
Patient Information Required: Personal details; medical history; medication list; social history; radiograph; consent
Referral Categories: Tooth surface loss; Dental trauma; Pain diagnosis; Hypodontia; Cleft; Tooth structure abnormality; Oncology
Priority Groups: Head and neck oncology patients; Developmental defects; Severe dentoalveolar trauma
Acceptance Criteria: As defined by South West MCN referral guidelines
Signature Requirement: Referring practitioner confirmation and signature
Contact Details Included: Postal addresses; telephone numbers; email addresses
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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