Forms

A range of downloadable forms are available for practices, covering areas such as Oral Surgery Referral Forms, Contract Allocation form and the Application for Personal Payment under the Statement of Financial Entitlements.

• Compass authorisation form England (incorporates pension allocation form)
• Application for Personal Payment Under the Statement of Financial Entitlements

Oral surgery referral guidelines and forms:

• Oral Surgery referral guidelines for GDPs
• Form 1: OFMS referral form – DIOCS
• Form 2: GA or Sedation request form
• Form 2a – GA or Sedation Request Form (Electronic)
• Form 4: Cornwall 2WW referral paperwork
• Suspected head and neck cancer referral form
• Bristol Apicectomy referral form
• Bristol General oral surgery referral form
• Bristol Oral Medicine referral form
• Bristol third molar referral form

Special Care Dental Service Referral Form

• NHS England South (South West) Referral Form Request for Assessment of Patients with Additional Needs (Plymouth and UHB)
• Kernow Special Care Referral Form
• Torbay and South Devon Special Care Referral Form
• Somerset Primary Care Dental Service Special Care Referral Form
• Salaried Dental Service North Devon Special Care Referral Form

Peninsula Community Health Special Care Referral Proforma:

• Community Special Care Dentistry Referral Proforma – Children 2015
• Community Special Care Dentistry Referral Proforma – Adults 2015