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This form is used to refer patients for a Cone Beam CT scan, including necessary patient information and reasons for referral.
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How to fill out cone beam ct referral

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How to fill out cone beam ct referral

01
Gather patient information, including name, age, and relevant medical history.
02
Specify the reason for the cone beam CT scan, including any specific dental or medical concerns.
03
Include details about prior imaging or treatments related to the area of interest.
04
Provide the referring dentist's contact information for follow-up.
05
Sign and date the referral form, ensuring that all required fields are complete.

Who needs cone beam ct referral?

01
Patients requiring detailed imaging of jaw structures, teeth, or sinuses.
02
Individuals with complex dental cases or treatment planning, such as implant placement.
03
Patients with suspected pathology or abnormalities in the oral and maxillofacial region.
04
Candidates for orthognathic surgery or other surgical interventions needing precise anatomical details.
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A cone beam CT referral is a request made by a healthcare provider for a patient to undergo a cone beam computed tomography scan, which is a specialized imaging technique that provides detailed three-dimensional images of dental and maxillofacial structures.
Typically, dental professionals such as dentists or oral surgeons are required to file a cone beam CT referral when they determine that advanced imaging is necessary for diagnosis or treatment planning.
To fill out a cone beam CT referral, the referring clinician should include patient demographics, clinical findings, the specific area of concern, and the reason for the referral along with any relevant medical history.
The purpose of a cone beam CT referral is to obtain detailed 3D images that aid in the diagnosis, treatment planning, and management of dental and oral conditions, thereby enhancing patient care.
The information that must be reported on a cone beam CT referral includes patient name, date of birth, referring clinician's information, clinical indication for the scan, specific areas to be imaged, and any pertinent medical history.
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