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CBC IMAGING AND REPORTING SERVICES Dental Center Oral Radiology 707 Parnassus Ave, Suite 1109 | San Francisco, CA 94143 Office: 415.476.5575 | email: dental.radiology@ucsf.eduCone Beam CT Referral
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How to fill out cbct interpretation referral form

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How to fill out cbct interpretation referral form

01
Start by providing patient demographics such as name, age, and contact information.
02
Include the reason for the CBCT scan and any pertinent medical history.
03
Specify the area of interest for the scan and any relevant findings from previous imaging studies.
04
Indicate any specific questions or concerns that you would like the interpreting radiologist to address.
05
Provide any additional clinical information that may assist in the interpretation of the CBCT scan.
06
Sign and date the referral form before submitting it to the radiology department.

Who needs cbct interpretation referral form?

01
Dentists who have ordered a CBCT scan for a patient and require interpretation of the results.
02
Physicians who are referring patients for specialized dental or maxillofacial imaging.
03
Oral surgeons or orthodontists who need expert interpretation of CBCT scans for treatment planning.
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CBCT interpretation referral form is a document used to request a Cone Beam Computed Tomography (CBCT) scan interpretation from a qualified radiologist or dentist.
Any dentist or medical professional who requires a CBCT scan interpretation for a patient is required to file the CBCT interpretation referral form.
To fill out the CBCT interpretation referral form, provide patient information, reason for the scan, specific areas of interest, and any relevant medical history.
The purpose of the CBCT interpretation referral form is to provide necessary information for a radiologist or dentist to accurately interpret a CBCT scan.
The CBCT interpretation referral form must include patient demographics, reason for the scan, referring provider information, specific areas of interest, and any relevant medical history.
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