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This document is a referral form for patients needing a Canaray CBCT scan. It includes sections for patient information, referring dentist details, reason for the scan, billing instructions, and fee structures. The form requires completion of all patient information, including consent regarding payment and scan requirements.
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How to fill out canaray cbct referral template

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How to fill out canaray cbct referral

01
Obtain the canaray CBCT referral form from your healthcare provider or download it from the official Canaray website.
02
Fill in patient information, including name, date of birth, and contact details.
03
Specify the reason for the referral, detailing the clinical need for CBCT imaging.
04
Provide any relevant medical history or previous imaging results that are necessary for the referral.
05
Include any specific instructions or areas of interest that the radiologist should focus on during the scan.
06
Sign and date the referral form to validate it.
07
Submit the completed form to the CBCT imaging center either by email or in person.

Who needs canaray cbct referral?

01
Dentists who require detailed imaging for complex dental cases.
02
Orthodontists needing to assess dental and skeletal relationships.
03
Oral surgeons evaluating conditions that require surgical intervention.
04
Endodontists needing to diagnose root canal issues.
05
Patients with temporomandibular joint disorders requiring advanced imaging for assessment.
06
Individuals with dental anomalies or developmental issues that need thorough investigation.

What is Canaray Cbct Referral Form?

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Canaray CBCT referral is a document required for the referral of patients for Cone Beam Computed Tomography (CBCT) imaging by dental professionals in Canada.
Dentists or dental specialists who require CBCT imaging for their patients are required to file the Canaray CBCT referral.
The Canaray CBCT referral should be filled out by providing patient information, the reason for the referral, and specific details about the imaging required.
The purpose of the Canaray CBCT referral is to ensure that patients receive appropriate imaging services and to facilitate communication between dental practitioners regarding patient care.
The information that must be reported includes patient identification details, the referring practitioner's information, clinical indications for the imaging, and any relevant medical history.
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