A dental examination form consists of basic dental information of adults as well as children. It includes a total health check report of teeth, jaw, cavities, bleeding gums, swelling of gums, and overall oral health. This type of examination form is required by several institutions including new employers, travel agents, military establishments, other medical institutions, schools and colleges etc. A dental examination form not only contains the details of dental tests taken but also the treatments required or provided for a specific dental condition.
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Features:
Personal Information
Name: Collects the patient’s full name.
Age: Records the patient’s age.
Date of Birth: Records the patient’s date of birth.
Nationality: Asks for the patient’s nationality.
Sex: Indicates the patient’s gender.
Student/Employed: Asks if the patient is a student or employed.
Parent/Guardian Information: Collects the names and also relationship of the patient’s parents or guardians.
Contact Information: Includes the patient’s residential address, phone numbers, and also email address.
Insurance Information: Asks for the patient’s insurance information, including the type of insurance and also the insurance number.
School/Workplace Information
School/College: Collects the name of the patient’s school or college.
Employer: Collects the name of the patient’s employer.
Address: Collects the address of the school/college .
Benefits
Standardization:
Ensures consistency in collecting patient information.
Clarity:
Clearly outlines the required information, making it easy for patients to complete the form.
Efficiency:
Streamlines the patient registration process.
Record Keeping:
Serves as a valuable record of patient information, which can be important for future reference.
Data Analysis:
Can be used to analyze patient demographics and also identify trends.
Compliance:
Helps dental practices comply with HIPAA and also other relevant regulations.
