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Cone Beam CT Referral Form Level 1, 38 Broadway, Newmarket Auckland 1023 pH: 09 524 4541 E: reception dental artistry.co.patient INFORMATION First name:DOB:Last name:Gender M/Address:Are you pregnant?

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How to fill out cbct referral form dental

01

Start by obtaining a copy of the CBCT referral form from your dental clinic or imaging center.

02

Fill in your personal information, including your name, contact details, and any relevant medical history.

03

Provide details of the referring dentist or dental specialist, including their name, contact information, and professional affiliation.

04

Indicate the reason for the CBCT referral, specifying the specific dental concern or intended diagnostic purpose.

05

If necessary, attach any supporting documentation or images that may be helpful for the radiologist or specialist interpreting the CBCT scan.

06

Ensure that all sections of the referral form are accurately completed and legible.

07

Double-check the form for any errors or missing information before submitting it.

Who needs cbct referral form dental?

01

The CBCT referral form dental is typically needed by dentists or dental specialists who require a Cone Beam Computed Tomography (CBCT) scan to aid in the diagnosis and treatment planning of various dental conditions.

02

Patients who need specialized dental treatments or evaluations may also require a CBCT referral form from their dentist.

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What is cbct referral form dental?

CBCT referral form dental is a form used to refer patients for Cone Beam Computed Tomography (CBCT) scans in the dental field.

Who is required to file cbct referral form dental?

Dentists and dental professionals who need to refer patients for CBCT scans are required to fill out cbct referral form dental.

How to fill out cbct referral form dental?

CBCT referral form dental can be filled out by providing patient information, reason for referral, and other relevant details related to the CBCT scan request.

What is the purpose of cbct referral form dental?

The purpose of cbct referral form dental is to ensure proper documentation and communication between referring dental professionals and the imaging center performing the CBCT scan.

What information must be reported on cbct referral form dental?

The information reported on cbct referral form dental includes patient details, reason for referral, clinical history, requested scan parameters, and any relevant medical history.

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