Tooth charts, pet details, and risk factors

Part of the referral form belongs to your category: a tooth chart for dental, animal details for veterinary, a risk question for mental health. All of it arrives with the referral. Here is what each one collects.

The part of the form that is yours

Every referral form shares the same sections: who it is for, the specialty, the reason with its notes, the files, and the recipients. Your category adds its own part. Dental: the Tooth Selection chart, in the Reason section. Veterinary: a Patient section for the animal, under Owner. Mental health: a Risk question in Reason. The General category has no clinical part at all; its context lives in the notes.

The chart and the animal's age are optional; the species, a dog's or cat's breed, and the risk answer are asked for. What you do fill in reaches the receiving practice the moment they can open the referral, as structured fields rather than a paragraph of notes.

Dental: the tooth chart

The Tooth Selection block draws the mouth so you can show the receiving practice which teeth the referral is about. Its marks depend on the specialty you're referring to, so pick the specialty first. Until you do, the chart reads Select a specialty to mark teeth.

  1. Pick the specialty you're referring to. The toolbar above the chart shows that specialty's marks, with Missing at the end.
  2. Choose a mark. Ticking a reason chooses its mark for you. Place and Space show their kind on the button; use its arrow to change it, for example to Place: implant or Space: close.
  3. Select each tooth the mark applies to. Select it again with the same mark to remove it.
  4. To show two things on one tooth, add the second mark. Marks that go together stay together, such as Extract and Place: implant. Any other mark replaces the first.
  5. To mark baby teeth, tick Primary below the chart. Permanent and Primary can be shown together.
  6. Check the list under the chart. It groups the marked teeth by mark, with a Permanent: and a Primary: row for each.
Tooth chart on an oral surgery referral: Extract on two teeth, an implant on one of them, and the list of marks below the chart.
Two teeth marked Extract, one of them also marked for an implant, listed by mark underneath.

The magnifier button in the corner of the chart, labeled Open large chart, opens the same chart larger in a dialog, and the two stay in sync. Your view, numbering, and default teeth all come from your own settings.

Tooth numbering follows the reader, not the referral

Syncroly numbers teeth in Universal (ADA) or Palmer. There is no notation picker on the referral form, because notation is a per-person setting rather than part of the referral. You mark the chart in your numbering, and every reader sees it in theirs: an orthodontist who works in Palmer reads your Universal-numbered chart in Palmer.

  1. At the bottom of the sidebar, open the menu showing your name.
  2. Select Settings.
  3. In the settings sidebar, under PREFERENCES, open Display & Defaults.
  4. In the Tooth chart card, under View, choose Facial view or Occlusal view.
  5. Under Tooth numbering system, choose Universal (ADA) or Palmer.
  6. Under Default teeth, tick what a new referral's chart shows first: Permanent, Primary, or both.
  7. Select Save preferences.
The Tooth chart card in Display and Defaults settings. Under View, Facial view is selected rather than Occlusal view; under Tooth numbering system, Universal (ADA) rather than Palmer; under Default teeth, Permanent and Primary are both ticked. Beside the options, a preview draws the facial view: the teeth from the front with their roots, permanent and primary. A Save preferences button sits below.
The Tooth chart card. The preview shows your choices before you save.

Veterinary: the animal details

On a veterinary referral the animal has its own Patient section, because the animal is the patient; the owner's name and email are in Owner above it. The section collects Pet name, Species (Canine, Feline, or Other), Breed, Birth date, Sex, Weight, and Coat color.

Species is a three-way switch, and Breed is required for a dog or cat, with suggestions as you type. Choosing Other swaps the breed field for a species of your own wording, along the lines of e.g., Hamster, Rabbit, Bird, and asks you to describe it.

The remaining fields carry their own conveniences. Birth date is optional and opens on Age: enter years and months, and the specialist sees it as an estimate, such as ~3 yrs. If you know the date, switch to Date, and tick Estimated when the date you type is itself a guess. Sex distinguishes Male (Intact), Male (Neutered), Female (Intact), and Female (Spayed). Weight takes a decimal with a point or a comma, rounds to one place, and pairs the number with a unit, lbs or kg; enter both or neither.

The Patient section on a veterinary referral form, filled in for a dog: pet name Biscuit, a Canine, Feline and Other switch on Canine, breed Labrador Retriever, an age of 3 years with an Age or Date switch, sex Male (Neutered), a weight of 68.5 with a unit of lbs, and a coat color of Yellow.
The animal's Patient section on a veterinary referral, filled in.

Which unit the form starts on is yours to set: in Settings, under PREFERENCES, open Display & Defaults and choose Default weight unit, Pounds (lbs) or Kilograms (kg).

Mental health: risk factors

On a mental health referral the Reason section asks a Risk question with four options you select, each with its purpose written under it:

  • None known, for no known risk factors.
  • Suicidal ideation, to flag that the provider should triage urgently.
  • Homicidal ideation, to flag concern for others' safety.
  • Other, which opens a Describe the risk factor field for anything the first three do not cover.

It opens with nothing chosen; Send asks you to answer (Choose one, or None known.). None known stands alone: selecting it clears the others, and selecting any other clears it. Other will not save without its description.

The Risk question in a mental health referral's Reason section as it opens, with no answer chosen. It offers four options, each with its purpose under it: None known for no known risk factors, Suicidal ideation to flag urgent triage, Homicidal ideation to flag concern for others, and Other, which asks for a description below.
The Risk question as the form opens, with no answer chosen.

What the receiving practice sees

The clinical block arrives on the received referral as its own card: the tooth chart drawn with your marks in the reader's own notation, the animal details laid out field by field, the risk factors listed. If something changes after you send, the clinical context is one of the things a post-send correction can update. Fix or cancel a referral after sending covers how.