Dental Data Exchange
1.0.0 - CI Build

Dental Data Exchange, published by Payer/Provider Information Exchange Work Group. This is not an authorized publication; it is the continuous build for version 1.0.0). This version is based on the current content of and changes regularly. See the Directory of published versions

Dental Forms & Resources

CareQuest Institute MORE Care Referral Form

The Medical-Oral Expanded Care (MORE Care) referral forms are designed to establish a pathway of care communication that streamlines the scheduling process and closes the loop on a referral from a medical provider to dental providers. Above shows the MORE Care Medical Provider Referral for Dental Care, which was designed to facilitate the referral process, by ensuring that the receiving provider was given the essential health information for the referred patient.

CareQuest Institute MORE Care Dental Treatment Form

In the MORE Care pathway, dentists are asked to acknowledge acceptance of the referral, and following the referral treatment visit, complete the Dental Referral Treatment Report (above) to verify diagnosis, disease risk status, dental treatment summary, and patient recare schedule with the medical care team.