REFERRING DENTIST DETAILS
COMPLETE IF REFERRING FOR CBCT
In accordance with IR(ME)R 2000 a clinical justification must be provided for each dental CBCT scan and the scan must be clinically evaluated by someone trained in the analysis of dental CBCT scans.
Note: we are able to recommend the services of a specialist in Oral and Maxillofacial radiology should you wish to arrange a radiographic report. Please visit
https://www.jm-radiology.co.uk for more information.
Your scan will be shared with you using our secure imaging server ‘360cloud’ which is fully GDPR compliant.
Thank you for submitting our form. We will be in touch within 48 hours to confirm your consultation time.