Centennial Park Dental
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Image Required* OPG Imaging (Price £95)CBCT Scan (Price £240)
Scan Selection* MandibleMaxillaBoth JawsSectional/Quadrant
Clinical Indications and Reason*
Radiographic Stent* Dentist will sendPatient will bring with them to appointmentN/A
Service-Level Agreement for the referral of patients to Centennial Park Dental for Dental Cone Beam CT Examinations This agreement is between the Referring Practice, Referring Practitioner and Centennial Park Dental
I agree to use the referral criteria as per the European Guidelines: Radiation Protection No. 172 and provide adequate clinical information in order for each examination to be justified.
I will make my own arrangement for the reporting of the CBCT scans acquired at Centennial Park Dental. This will be done by someone adequately trained as per HPA-CRCE-010-Guidance on the safe use of Dental Cone Beam CT. I confirm that I am adequately trained to interpret cone beam CT scans as per HPA-CRCE-010-Guidance on the safe use of Dental Cone Beam CT. I will ensure that my training remains up to date.
I will make my own arrangementsRadiology report required from Centennial Park Dental (Fee of £95, to be paid at Centennial Park Dental)
Please detail exactly what you would like included in the report
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