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.YesI refer to BluePearl-MinnesotaYesNo“I would like to get the opinion of the BluePearl-MN dentists/oral surgeons. I have a patient under anesthesia”YesNoPlease 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 InformationSpeciesCatDogBreedAgeHistoryOral Exam FindingsUpload Oral Exam Findings Drop files here or Upload Physical Photos Drop files here or Upload Radiographs Drop files here or CAPTCHA
