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ONE GUIDE LAB 6045651990 came atlantisdental.ca www.atlantisdental.ca 2160 Came Street, Vancouver, BC V5Z 4T1RXVancouver Honeyguide CBC and Impression CenterCBCT SCAN REFERRAL FORM Please call 6045651990
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01
Open the Atlantis Cambie CBCT Referral Form.docx file on your computer.
02
Begin by filling out the patient's personal information, including their full name, date of birth, and contact information.
03
Fill in the referring dentist's information, such as their name, contact information, and practice name.
04
Provide details about the patient's medical history, including any relevant conditions or medications.
05
Specify the reason for the referral and include any additional information that may be important for the receiving dentist.
06
If applicable, indicate any desired date or timeframe for the CBCT scan and note any specific areas of interest.
07
Once all the necessary information has been filled out, save the completed form.
08
If required, print a hard copy and provide it to the patient or the receiving dentist.
09
Additionally, consider sending a copy of the filled-out form via email or secure file sharing to ensure it reaches the intended recipient.

Who needs atlantis-cambie-cbct-referral-formdocx?

01
The Atlantis Cambie CBCT Referral Form.docx is needed by dentists or referring practitioners who wish to request a Cone Beam Computed Tomography (CBCT) scan for their patients.
02
The form is usually required when a dentist wants to refer a patient to a dental radiology center or imaging facility for a CBCT scan.
03
It ensures that all the necessary information related to the patient, referral, and medical history is properly documented and transmitted to the receiving dentist or radiologist.
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The atlantis-cambie-cbct-referral-formdocx is a document used to refer patients for Cone Beam Computed Tomography (CBCT) imaging at the Atlantis Cambie facility.
Health care professionals, such as dentists and physicians, who are referring patients for CBCT imaging must file the atlantis-cambie-cbct-referral-formdocx.
To fill out the atlantis-cambie-cbct-referral-formdocx, the referring professional needs to provide patient information, clinical history, the reason for referral, and any relevant radiographic history.
The purpose of the atlantis-cambie-cbct-referral-formdocx is to facilitate the referral process for patients requiring CBCT scans, ensuring that all necessary information is documented for diagnostic imaging.
The information that must be reported includes patient name, date of birth, referring provider information, reason for imaging, and any pertinent medical or dental history.
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