Case Form – Preview Please note that the information you do or to not include may alter case outcome and you ultimately retain primary case responsibility. Yes I refer to BluePearl-Minnesota Yes No “I would like to get the opinion of the BluePearl-MN dentists/oral surgeons. I have a patient under anesthesia” Yes No Please call the BluePearl Hospitals. We do our best to get right on the line if you have a patient under anesthesia; we are so happy to help! We apologize if we are not available, but our technicians can often help guide you immediately. The number in Eden Prairie is (952) 942-8272 and Blaine is (763) 754-5000. I would like to get the input of the BluePearl- MN dentists/oral surgeons. I understand that I retain primary case responsibility. I would like a formal report that I can include in my medical record (for a $XX fee).--> direct to paid submission form with need to input $/paypal/CC I would just like a quick call from Emily or Donnell with input at their next availability (usually within 24-48 business hours- no charge). --> direct to submission without the need to enter $ info. Requesting DoctorRequesting DoctorClinic NameClinic Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Clinic PhoneEmail Response will be sent to this emailPatient InformationSpecies Cat Dog BreedAgeHistoryOral Exam FindingsUpload Oral Exam Findings Drop files here or Select filesMax. file size: 356 MB.Upload Physical Photos Drop files here or Select filesMax. file size: 356 MB.Upload Radiographs Drop files here or Select filesMax. file size: 356 MB.CAPTCHA
