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4� r9`i`,�',� <br />your Independent heolthcore 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 TechCaree. <br />patient: TEST, DONALD <br />Po6: 6113126g9 (Age=3) <br />Heaving: 24OA-657-02 <br />Status; ACTNE <br />5: Patient Complains of., <br />O: Reviewed Medial f Dental Hx <br />Allergies: <br />Significant hied. Hx: <br />X.Ray(s): <br />Dental Screening Form <br />Patient x: S207497 <br />Sex: Male <br />SSNR: 335-61-2555 <br />Booking pate: 8/22/2007 11:46:04 AM <br />Inmate Medical Services RFP No. 17-051 <br />City of Santa Ana 70 <br />