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Radiograph report template

For reporting on radiographs on their own, with no examination or treatment in the same visit: film type, justification, quality grade and findings. Built as a standalone radiograph report, separate from an exam or treatment note.

RADIOGRAPHS

Radiograph Type:
Teeth / Area:
Date Taken:
Justification:
Quality Grade:
Caries:
Bone Levels:
Apical Pathology:
Other Findings:
Assisted by:

MEDICAL HISTORY

Medical History:

DIAGNOSES

Radiographic Diagnosis:

PLAN

Discussed With Patient:
Plan:
Estimate Discussed:

GDC standard 4.1 expects a patient's clinical record to be made as the appointment happens, and to be accurate and complete.

How Assist helps

Assist fills this in for you.

Assist records the appointment and drafts a note in this structure for the dentist to review and sign off. It writes up what was said in the room, and you check every line before it goes in the record.

28 days free. No card required.
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