Edit Case Log Entry

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Resident/ Candidate:
Case Category Descriptions
Case Category:
Case Number:
(will be automatically assigned by DMS)
Procedure Date:
Date Picker
Patient Name:
[Pet Name] [Owner Last Name] without quotes or parentheses
Example: Spot MacKenzie
Patient Identifier:
Patient Identifier:
(optional; hospital or practice case number)
Species:
Species:
(if "Other," include species in Breed field)
Breed:
Other Breed:
Sex:
Age:
Diagnosis:
Abbreviations | Triadan Numbering
Dental Procedure:
List only MRCL-relevant items
Case Role:
Supervising Dentist:
(initials, if present; required for A, S, PA, and RA cases)
Procedure Location:
Other Location:
Radiographs:
Case medical record includes radiograph(s).
CBCT:
Case medical record includes cone beam CT.
Photos:
Case medical record includes photograph(s).