CT Scan

Download Printable Version

Dental Cone Beam CT Scan Request Form
  • Patient Details

  • Referring Dentist Details

  • CT Scan details

    All scans will be parallel to the occlusal plane unless otherwise specified.
  • CT Scan Charges

    Basic CT Scan £100.00 (including guided stent)

    Maxillofacial radiological report £70.00

    Simple report for bone volume and suitability for implants £40.00