CBCT Scan Request Form

Step 2. Referring Dentist’s Details

I have completed the necessary training to meet the minimum criteria as an IRMER referrer for cone beam CT, as outlined on pages 49, 50, and 51 of the Guidance on the Safe Use of Dental Cone Beam CT Equipment, prepared by the HPA Working Party on Dental Cone Beam CT Equipment.

Step 3. Scan Details / Region of Interest

In accordance with IR(ME)R 2000, a clinical justification must be provided for each dental CBCT scan. If you, the referrer, choose not to have the scan reported by Springmount Dental & Aesthetics, you acknowledge that it must be clinically evaluated by someone trained in the analysis of dental CBCT scans.

Step 4. Costs

Standard CT scan (includes free viewing software or email) (Suitable for Nobelguide if you have the Nobelguide software)
Delivery
CBCT will be sent via email
Please include any relevant file attachment such as radiographs, clinical notes or photographs. We accept the following file: JPG, PNG, DOC, DOCX, PDF

Step 1. Patient Details

Step 2. Referring Dentist’s Details

I have completed the necessary training to meet the minimum criteria as an IRMER referrer for cone beam CT, as outlined on pages 49, 50, and 51 of the Guidance on the Safe Use of Dental Cone Beam CT Equipment, prepared by the HPA Working Party on Dental Cone Beam CT Equipment.

Step 3. Scan Details / Region of Interest

In accordance with IR(ME)R 2000, a clinical justification must be provided for each dental CBCT scan. If you, the referrer, choose not to have the scan reported by Springmount Dental & Aesthetics, you acknowledge that it must be clinically evaluated by someone trained in the analysis of dental CBCT scans.

Step 4. Costs

Standard CT scan (includes free viewing software or email) (Suitable for Nobelguide if you have the Nobelguide software)
Delivery
CBCT will be sent via email
Please include any relevant file attachment such as radiographs, clinical notes or photographs. We accept the following file: JPG, PNG, DOC, DOCX, PDF

Why Refer To Springmount?

Referring patients to Springmount Dental & Aesthetics ensures top-quality, stress-free dental care. Our skilled team, including experienced anaesthetists, excels in providing safe, pain-free procedures with dental sedation. We offer personalised treatment plans, advanced technology, and a commitment to exceptional service, making dental care a positive experience for all.

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