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Home
Our Team
Contact Us
Invisalign
Implants
Finance Options
Dentist Referral
CBCT Referral
Fee Guide

CBCT Referral

Practicitoner Name, Address and Phone number*

Email*

Patient Name and Address and Phone number*

Patient Date of Birth and Gender*

Patient Email*

Is this patient possibly pregnant?*

Would you like DICOM files only or with Viewing software?*

Area to be scanned*

Clinical Reason for CBCT*

Do you need a Radiographic Stent?*

Please note that Seven Hills Dental Practice does not offer CBCT reporting service. Confirm that you are IR(ME)R trained CBCT referror.*

I confirm that I fully understand that to comply with IR(ME)R regulations all scans must be reviewed and reported into the patients clinical records

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Cost £150 to be paid directly to practice

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Seven Hills Dental

Seven Hills Dental Practice 302 Oxgangs Road North Edinburgh EH13 9ND

0131 4413231 | info@sevenhillsdental.co.uk

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LAST UPDATED 02/01/2022