CBCT referral

If you need your patients to have CBCT you can refer them into our office.
  • Scenario A: you are a dentist or dental specialist - you are authorized to request a CBCT- follow steps 1-4.
  • Scenario B: you are a medical doctor or specialist, licensed Nurse Practitioner - you are authorized to request a CBCT - follow steps 1-5
  • Scenario C: you are a naturopath or other healthcare professional not listed above and you feel that your patient can benefit from CBCT - we cannot accept your request for a CBCT - please advise your patient to book a specific examination with a dentist at our clinic. During exam we will determine if CBCT is indicated for a particular case.
  • Scenario D: you are a patient thinking CBCT is what you need - book a specific examination with a dentist. During exam we will determine if CBCT is indicated for your particular case. Alternatively if you are searching for a dentist - book a New Patient Examination and discuss all your needs and questions with us.
Please note: No written volume interpretation will be provided by office dentists or radiologist for outside referrals. See step 5.
Steps:
  1.  Feel the requisition form ( click)
  2. Give patients our address and phone.
  3. Patients can easily arrange appointment and have procedure completed within 10-15 min by authorized staff.
  4. Patient will be charged $150for CBCT (nd if requested $10 for recording volume on DVD  (patients will be provided with CBCT volume on disk at the end of the procedure).
  5. If you want a your patient to have CBCT reviewed and results discussed with a dentist at our office they will need to book a specific examination appointment with a dentist. Often this review can be done right after CBCT has been acquired ( same day).

cbct_requesition.pdf
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File Type: pdf
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