Get the free CBCT imaging referral form.pdf - San Francisco
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CBC IMAGING AND REPORTING SERVICE UCSF Dental Center 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 imaging referral formpdf
How to fill out cbct imaging referral formpdf
01
Obtain the CBCT imaging referral form PDF from the appropriate source.
02
Fill out the patient's personal information including name, date of birth, and contact information.
03
Provide details about the reason for the CBCT imaging referral and any specific areas of concern.
04
Include information about the referring dentist or healthcare provider, including their name, contact information, and signature.
05
Review the completed form for accuracy and completeness before submitting it for the CBCT imaging appointment.
Who needs cbct imaging referral formpdf?
01
Dentists, orthodontists, maxillofacial surgeons, and other healthcare providers who require CBCT imaging for diagnostic or treatment planning purposes.
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What is cbct imaging referral formpdf?
CBCT imaging referral formpdf is a form used to refer patients for cone beam computed tomography imaging.
Who is required to file cbct imaging referral formpdf?
Dentists and healthcare providers are required to file cbct imaging referral formpdf.
How to fill out cbct imaging referral formpdf?
To fill out the form, providers need to enter patient information, reason for referral, and any relevant medical history.
What is the purpose of cbct imaging referral formpdf?
The purpose of the form is to request cone beam computed tomography imaging for diagnostic purposes.
What information must be reported on cbct imaging referral formpdf?
Patient demographics, reason for referral, medical history, and contact information must be reported on cbct imaging referral form pdf.
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