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oqj&hare <br />your independent healthcare choice. <br />requests within 2 weeks or less of the initial sick call. We coordinate appropriate off-site referrals for <br />inmates requiring dental care outside the capabilities of the facility. All dental services are delivered <br />according to proper Universal Precaution measures and are documented in the inmate's medical record. <br />We do not perform cosmetic dental services. The following screenshot shows the Dental Screening <br />form used in TechCare®. <br />Dental Screening Form <br />O: Reviewed Medial / Dental Nx <br />Allergies <br />SlgniRcanl Med. Nx: <br />[j None _ 77 <br />IA <br />i r <br />XRaylst: <br />Limited Pram /X-rays reveal <br />Caries <br />Patient: TEST, DONALD <br />Patient*: <br />5207497 <br />Language: <br />French Aacmonannro <br />Fistula <br />DOB: 6/13/2009 (Age=3) <br />Sex: <br />Male <br />Race: <br />Asian <br />'Bone loss <br />240A-657-02 <br />SSNY: <br />335-61-2555 <br />=P=REL,Housing: <br />Status: ACTIVE <br />Booking Date: <br />8/22/2007 11:46:04 AM <br />Release: <br />8/22/2010 11:46:04 AM <br />S:Patient ComplainaoE <br />r <br />O: Reviewed Medial / Dental Nx <br />Allergies <br />SlgniRcanl Med. Nx: <br />[j None _ 77 <br />IA <br />i r <br />XRaylst: <br />Inmate Medical Services <br />City of Santa Ana <br />25F-69 <br />RFP No. 17-051 <br />70 <br />Limited Pram /X-rays reveal <br />Caries <br />swelling <br />e J tbl <br />Radiolucency <br />Fistula <br />Suppuration <br />Mobility <br />'Bone loss <br />Inmate Medical Services <br />City of Santa Ana <br />25F-69 <br />RFP No. 17-051 <br />70 <br />