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CBCT Referral Form

If not required for implants please write N/A
Will the patient be wearing a radiographic stent.
If report is not required - I declare that I have the necessary qualification in order to evaluate the data requested. Alternatively, I will arrange for a Consultant Radiologist to evaluate the data.
Guidance Notes for Dental Practitioners on the Safe Use of X-ray Equipment. 2nd Edition. FGDP(UK) & PHE 2020
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