Medical/Dental Integration Tool Kit

Tools and forms for dentists and physicians to help integrate oral and systemic health. Please share these forms with your medical colleagues. If you have other forms that have proven effective, please feel free to share them with us.

Title PDF Word
Directions
  (Important information on use of the following forms.)
   
Dental Medical Consultation Form
  (For use in referring your patients to medical providers.)
   
Pregnancy Consultation Form
  (To share with your patients' Obstetricians.)
   
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.)
   
Universal Pain Scale and Hypertension Guidelines
  (The universal pain scale may help you receive more accurate pain assessments from your patients. This hypertension chart provides basic guidelines for medical referral of your patients for treatment. Feel free to print for use in your office.)