BOOK

40min In Dr. or Hygiene column

Inform parents to arrive 10 min early to complete forms

CHECK-IN

Provide assessment forms to complete:

Infant

1. Assessment form

Child

1. Assessment form

2. PSQ

Preteen / Teenager

1. Assessment form

2. PSQ

Provide form to Dr. to review

EXAM

Chart note for Infant, Child, Preteen / Teenager

Dr. to refer to:

• Therapist (on HR) and/or
• Orthodontics and/or
• Sleep Assessment

Therapist to email Dr. when ready for release

SCHEDULE PROCEDURE

1. HR: Send Post-op form

2. HR: Inform therapist of procedure date

3. Complete consent form

PROCEDURE

Chart note for Infant, Child, Preteen / Teenager

SCHEDULE FOLLOW-UP

20 min in Dr. or Hygiene column

1 week (ideally) or 10 days

FOLLOW-UP

Provide follow-up form for Infant, Child, Preteen/ Teenager

Provide form to Dr. to review

FOLLOW-UP EXAM

Chart note for Infant, child, preteen/teenager

Dr. to confirm patient is ready for release and to inform admin to book procedure