3D CBCT Referral form

To refer a patient for a CBCT or OPG, please complete and submit the form below.

After reviewing, we will contact the patient to introduce ourselves and book them in. We will also keep you fully updated on progress throughout.

Please note, we do not provide reporting on the completed scans.

In accordance with IR(ME)R 2000 a clinical justification must be provided for each dental CBCT scan and the scan must be clinically evaluated by someone trained in the analysis of dental CBCT scans.

Confirmation of IRMER referrer training

If you feel you do not meet the IRMER requirements, we would be more than happy to see your patient for a clinical assessment. Please click here to find our referral form

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