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| Directions (Important information on use of the following forms.) |
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| Dental Medical Consultation Form (For use in referring your patients to medical providers.) |
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| Pregnancy Consultation Form (To share with your patients' Obstetricians.) |
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| Medical Dental Consultation Form (For medical colleagues to use in requesting dental evaluation or treatment prior to medical procedures such as cancer treatment, organ transplant, joint replacement or heart surgery.) |
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| Blood Glucose Values (A blood glucose test measures the amount of sugar, called glucose, in your blood.) |
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| Blood Pressure Classification for Adults (This hypertension chart provides basic guidelines for medical referral of your patients for treatment. Feel free to print for use in your office.) |
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| Hemoglobin A1c Values (The A1c test is a blood test that provides information about a person's average levels of blood glucose–also called blood sugar–over the past three months.) |
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| Physical Status Classification System The purpose of this grading system is simply to assess the degree of a patient's "sickness" or "physical state" prior to selecting the anesthetic or prior to performing surgery.) |
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| Universal Pain Scale (The universal pain scale may help you receive more accurate pain assessments from your patients.) |
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