Extra Fields

Add things like occlusion or individual teeth only if they are relevant (i.e. obvious restoration, obvious/ sever malocclusion)

**ATS by Dr.

CCC: Correct

Medical History: updated

No contraindications for student treatment

D/w: Treatment at OHCWA is provided by students, under supervision of Dentists. Explained appointments take longer (up to 3hrs). Discussed tx is generally completely subsidised vs 80% coverage for Lab fees.

Pt happy to be seen by Students.

**PC:

Availability:

E/O:

I/O:

Tooth charting:

Tx needs:

OPG:

Suitable for DMD:

Informed pt that student assigned will make contact to book next appointment. Pt understands