Please fill in the form details or click on the button below to download our CBCT Imaging referral form
Please complete the following details:
You would like us to arrange for this patient’s radiographic examination(s) to be reported upon (£85 per image) (This report will be sent to you separately)
You are adequately trained and competent to interpret and report your own CBCT images.
What type of image do you require?
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