CBCT Scanner Referral Form

Thank you for referring your patient to us! Please complete the form below and a member of the team will contact your patient to make the necessary arrangement. Since we are a dental practice we can guarantee confidentiality and assure you and your patient of a high standard of care and service. The practice is also accredited by the CQC.

Pricing: OPG – £20 / Small Volumes – £75 / CBCT – £100 per Jaw. Scans do not include a radiology report on routine referrals, unless requested. This will have a charge of an extra £100.

Patient Details

Referrer Details

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