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Cone Beam CT Referral Form 155 Tempera Road, Tempera Auckland 1050 pH: 09 392 6637 M: 022 602 6637 Fax: 09 8873075 info@coneradiology.co.nz www.coneradiology.co.nzPatient information First name:DOB:Last
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How to fill out dental referral form-cbctne

01
Obtain a dental referral form-CBCTNE from your dentist or dental specialist.
02
Fill out your personal information, including your name, address, and contact details.
03
Provide your dental insurance information, if applicable.
04
Specify the reason for the referral, such as the need for a Cone Beam Computed Tomography (CBCT) scan.
05
Include any relevant medical history or existing dental conditions that may be important for the referral.
06
If necessary, attach any supporting documentation or radiographs that may assist the receiving dentist or specialist.
07
Review the completed form for accuracy and completeness before submitting it to the recipient.
08
Submit the filled-out dental referral form to the appropriate dental professional or institution for further processing.

Who needs dental referral form-cbctne?

01
Anyone who requires a Cone Beam Computed Tomography (CBCT) scan or requires specialized dental treatment beyond the scope of their regular dentist may need to fill out a dental referral form-CBCTNE. This could include patients with complex dental issues, those needing oral surgery, or individuals seeking orthodontic treatment. The exact criteria for requiring a dental referral form-CBCTNE may vary depending on the specific dental provider or institution.
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The dental referral form-cbctne is a document utilized by dental professionals to refer patients for Cone Beam Computed Tomography (CBCT) imaging, which provides detailed 3D images of dental structures.
Dental professionals, such as dentists or oral surgeons, who need to refer patients for CBCT imaging are required to file the dental referral form-cbctne.
To fill out the dental referral form-cbctne, a dental professional must provide patient information, reasons for the referral, and any relevant medical history to ensure appropriate imaging and diagnosis.
The purpose of the dental referral form-cbctne is to communicate important patient information and referral reasons to imaging specialists, ensuring accurate and efficient imaging processes.
The information that must be reported on the dental referral form-cbctne includes the patient's personal details, referring dentist's information, specific reasons for the referral, and any pertinent medical or dental history.
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