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Periodontist Template

Report back to referrer

A professional Periodontist template for healthcare professionals.
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Specialty

Periodontist

Used

23 times

Type

Document

Last edited

10/08/2025

Created by

Anonymous

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About this template

Looking for a clear and concise way to communicate with referring dentists? Our 'Report Back to Referrer' template is designed for periodontists to efficiently summarise patient visits and treatment plans. This template allows you to provide a comprehensive overview of your findings, diagnosis, and recommendations. With Heidi, this template can be quickly populated from your clinical notes, saving you time and ensuring accurate communication. This template is perfect for periodontists who need to provide detailed reports back to referring dentists.

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Dear Dr. Emily Carter, Thank you for referring Sarah Jones who I saw today for a periodontal assessment. She reports improved gingival health and reduced bleeding on probing following scaling and root planing. Please find a report of my findings and recommendations below. Medical History: - No significant changes since the last referral. Clinical Findings: - Probing depths: 2-4mm throughout, with no sites exceeding 4mm. - Bleeding on probing: Minimal, present at 2 sites. - Clinical attachment loss: Stable. - No radiographic evidence of progressive bone loss. Diagnosis: Stable periodontitis, previously treated. Impression: The patient demonstrates good oral hygiene and maintenance of periodontal health. Treatment Plan: 1. Reinforce oral hygiene instructions. 2. Recommend supportive periodontal therapy every 6 months. 3. Patient will return if recommended by GDP or Dental Hygienist if there is concern over progressive disease. Other recommendations: Continue regular dental check-ups and hygiene appointments with her general dentist. Thank you for trusting Sarah Jones into my care. If you have any questions or concerns about anything in this letter, please do not hesitate to contact me. Once again, thank you so much for your referral. Kind regards, Dr. Thomas Kelly, Periodontist [Contact Information, if necessary]

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