Referral Details
AcceptedPatient Information
Name:
John Doe
Contact:
johndoe@example.com | (555) 123-4567
Procedure Details
Type:
Root Canal
Details:
Upper right molar, patient has reported sensitivity to cold
Office Information
Sending Office:
Smile Dental
Receiving Office:
Endodontic Specialists
Timeline
Sent Date:
2023-05-15
Accepted Date:
2023-05-16
Files & Documents
No files uploaded yet.
Notes
- Patient prefers appointments in the afternoon
- Allergic to latex