Root Cause Resolutions, LLC
Airway Screening Summary Form
Airway Screening Summary Form
Regular price
$35.00 USD
Regular price
Sale price
$35.00 USD
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This form is specifically designed to be sent home with patients & shared with additional care team providers. 
What’s Included
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Chairside Summary Form
- Standardize communication between clinical team members during patient evaluations, helping ensure consistency, efficiency, and clarity in identifying signs of airway dysfunction
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Customizable patient handout
- This take-home resource reinforces key findings intended to support meaningful conversations with interdisciplinary care providers. By completing this form with patient-specific information, dental offices are able to extend their findings beyond the operatory and into collaborative care.
Together, these tools help bridge consistent in-office screening protocols with clear, easy-to-understand interdisciplinary communication efforts aimed at strengthening whole-body care.

Customize these forms with your personal office branding - included with purchase.

Check out the Airway Integration Masterclass™
Learn how to integrate this free download into your existing workflows for optimal patient care.
Thinkific
Airway Integration Masterclass™ Bundle
Regular price
$697.00 USD
Regular price
$744.00 USD
Sale price
$697.00 USD
Shipping calculated at checkout.
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Free Screening Forms Available Below
A collection of free downloads designed to support elevated standards for airway screenings and intervention protocols.
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Screening for Sleep Disorders
Regular price $0.00 USDRegular priceSale price $0.00 USD -
Airway Patency Assessment
Regular price $0.00 USDRegular priceSale price $0.00 USD -
Self-Assessment for Airway Dysfunction
Regular price $0.00 USDRegular priceSale price $0.00 USD