The rationale behind D9311 is to consult with the patient’s healthcare professional before beginning active treatment to ensure that all potentially dangerous medical conditions are discussed and the best course of treatment is collaborated for the patient’s safety. This exchange of information must be recorded in the patient’s’ clinical notes as a document, audio file or narrative. The following documentation must be present. Detailed exam and history of patients current and present illness along with purposed dental treatment and physician consulted with whom was consulted. It is also helpful to add time in and time out of consultation with both patient and physician along with final outcome of consultation or Medical Decision Making.