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Get the free Cone Beam CT Request Form - ndcs.com.sg

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Cone Beam CT Request Form 5 Second Hospital Avenue Singapore 168938 www.ndcs.com.sg Reg No. 199505641M Opening Hours: Mon to Fri: 8.00am 5.30pm Sat, Sun and Public Holidays: ClosedHOTLINE: 6324 8798
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How to fill out cone beam ct request

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How to fill out cone beam ct request

01
To fill out a cone beam CT request form, follow these steps:
02
Obtain the cone beam CT request form from the appropriate medical facility or imaging center.
03
Fill in the patient's personal information accurately, including their full name, date of birth, and contact details.
04
Provide relevant medical history, such as prior imaging studies, current medications, and any known allergies.
05
Specify the clinical indication or reason for the cone beam CT scan request.
06
Include any specific areas or regions of interest that need to be imaged and provide relevant anatomical details.
07
Indicate if there are any specific imaging protocols or special instructions required for the scan.
08
Mention if the patient is pregnant or could be pregnant, as this may affect the imaging procedure.
09
If applicable, include the referring physician's name, signature, and contact information.
10
Double-check all the filled information for accuracy and completeness.
11
Submit the completed cone beam CT request form to the medical facility or imaging center.
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Please note that the exact steps and form requirements may vary between different healthcare providers.

Who needs cone beam ct request?

01
Cone beam CT requests are typically needed by:
02
- Dentists: to evaluate the dental and maxillofacial structures for various dental treatments
03
- Orthodontists: for assessment and planning of orthodontic treatments
04
- Oral and maxillofacial surgeons: to aid in surgical planning for procedures in the head and neck region
05
- Ear, nose, and throat specialists: for evaluation and diagnosis of conditions related to the sinuses, nasal passages, and throat
06
- Radiologists: to assist in the diagnosis and evaluation of various medical conditions
07
- Other healthcare professionals who require detailed imaging of the craniofacial region for diagnostic or treatment purposes.
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A cone beam CT request is a formal application for a cone beam computed tomography scan, which is a medical imaging technique used to obtain detailed images of the body's internal structures, particularly in dentistry and orthodontics.
Typically, licensed healthcare providers, such as dentists or oral surgeons, who require the imaging for diagnosis or treatment planning are required to file a cone beam CT request.
To fill out a cone beam CT request, one should provide patient information, clinical indications for the scan, relevant medical history, and specific imaging requirements. It's essential to complete all required fields accurately.
The purpose of a cone beam CT request is to obtain authorization for the imaging procedure, ensuring that it is medically necessary for diagnosis or treatment and that the scan can be billed appropriately.
Information that must be reported includes patient demographics, referring provider details, clinical indications, and any pertinent medical history relevant to the imaging request.
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