1. Dr.Roba AL-agha

3. Definition : The act of sending someone to another person or place for treatment, help, advice, etc. A referral is usually necessary to see any practitioner or specialist other than your primary care physician (PCP), if you want the service to be covered. The referral is obtained from your PCP, who may require a telephone or office consultation first.

4. Appropriate referrals are an integral part of complete quality health care management. Referrals should be based on the education, training, and experience of the referring dentist and the unique needs of the patient.

5. Dentists are expected to recognize the needs of their patients and when referrals are necessary. These General guidelines assume the dentist has the requisite skill and knowledge in diagnosis and treatment planning to determine when a referral is needed.

6. The term "referring dentist, "usually means the (primary dental care provider) as defined by the ADA in 1994 The referring dentist may be a specialist. In situations where two or more dentists are involved in the treatment of the patient, communication between all departments is essential.

7. The term “ consulting dentist,” usually means the dentist who is not the primary dental care provider.

8. The consulting dentist should coordinate with the referring dentist, and any other dentists involved in the treatment. Each dentist should have a clear understanding of the role each is playing in providing care to the patient.

9. The specialists or consulting dentists upon completion of their care shall return the patient.

10.  Patients may need to be referred for several reasons: 1. Level of training and experience of the dentist  2. Dentist’s areas of interest  3. Extensiveness of the problem  4. Complexity of the treatment  5. Medical complications  6. Patient load  7. Availability of special equipment and instruments.

11. 8. Staff capabilities and training 9. Patient desires 10. Desire to share responsibility for patient care 11. Geographic proximity of the specialist or consulting dentist.

12. The referring dentist should convey appropriate information to the specialist or consulting dentist. * Name and address of the patient  * Scheduled appointment date and time with the specialist or consulting dentist  * Reason for the referral/diagnosis

13.  * Medical and dental information, which may include: -Medical consultations and specific problems- dental history -Diagnostic casts - Radiographic or digital images - future treatment needs beyond the referral  * Urgency of the situation, if an emergency  * Information already provided to patient

22. During treatment, your patients may still require some aspects of routine and emergency dental care from you. Once treatment is complete, your patients will be discharged back to your care.