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16 Broadway Road, Evesham, Worcestershire, WR11 1BG

Cone Beam CT (3D) Scan or OPT (2D) Scan Referrals

At Evesham Dental Health Team we are very grateful and honoured to accept referrals from our professional friends and colleagues. We will always respect this privilege by taking our utmost care, provide the requested advice / treatment and following completion return patients to their own practice for ongoing dental care.

How to make a referral:

  • Scan Information

    Type of Scan

    1. Opt
    2. Cone Beam CT Scan
    3. Airway Analysis with SICAT Air

    Patient to wear Radiographic Marker?

    1. Yes
    1. No

    Scan Size (Indicate Area on Diagram Below)

    1. Airway Analysis (11 x 10)
    2. Mandible / Maxilla (8 x 8)
    3. Sextant (5.5 x 5)
    • Upper Right

      Upper Left

      Lower Right

      Lower Left

    • Radiographs & Clinical Photographs

      If you would like to attach any radiographs, clinical photographs or any documents that you feel would be of use, please use the upload facility below.

    • Your Preference:

      1. Patient to pay £165 at scan appointment
      1. or Invoice £165 to referring dentist
      1. Patient to take image on Memory Stick
      1. or send/post image to referring dentist

      Fee of £165 includes scan DICOM file on disc and Pathology Report

      FORMAT DATA DELIVERY FOR CT SCAN WILL BE BY CD IN POST

      To comply with the IRMER 2000 regulations all radiographs and scans are required to be reviewed and reported into the clinical notes by the referring practitioner or by a radiologist. All CT and other radiographic examinations should be reported upon to rule out the possibility of coincidental pathology. All our CBCT scans are sent to a reporting service by a Consultant Radiologist. The resultant Pathology Report is emailed to you the referring dentist/doctor.

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Thank you for your referral.

Looking for Implant or Non-Implant Referrals? Please click on the buttons below.

Non-Implant Referrals CBCT 3D/OPT 2D Referrals

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For your convenience, we are open evenings and Saturday mornings

  • I’d like to be informed of exclusive offers and other practice information YES

*By clicking ‘submit’ you are consenting to us replying, and storing your details. (see our privacy policy).