Printable Dental Referral Form Template

Instructions and help about Printable Dental Referral Form Template

welcome to referral plus a new online referral system from UIC college of dentistry with referral plus you can send referrals receive real-time update on your referral and also keep the patients on the loop you can send referrals to UIC using referral plus in three simple steps step one navigate to UIC dentistry's referral plus webpage go to UIC dentistry website dentistry UIC dot edu in the website you can click on the link refer a patient under the tab patient care to be taken to the referrals plus web page once inside the page you can access the online form by clicking on the button refer to oral and maxillofacial surgery step 2 fill in the referring provider and patients information into the electronic referral form remember that all the field red asterisk are mandatory you can also indicate the appropriate reason for referral by selecting one or more options from under the list of reasons provided for a few reasons the subject box is provided to indicate the tooth location once yo