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Type of Appt
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|
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Health History findings
|
|
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Medications:
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Allergies
|
|
Findings that prompted recommendation for sleep screening/sleep study:
• • •
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Additional notes on reason for sleep screening:
|
|
Clinical Findings:
• • •
|
|
|
Findings of sleep SCREENING.
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Findings of Sleep STUDY
|
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CBCT findings.
• • •
|
Additional notes on CBCT findings
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Additional notes on CBCT TMJ assessment:
|
MRI findings:
|
|
Treatment options:
• • •
|
|
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Referrals given:
|
Additional notes:
|
|
New Free Draw
|
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