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16 Broadway Road, Evesham, Worcestershire, WR11 1BG
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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:

Practice Details

Practice Address

Patient Details

Patient Address

Scan Regions

(pull down menu)

Scan Size (Indicate Area on Diagram Below)

Field of View
Upper Right
Lower Right
Upper Left
Lower Left
Patient to wear Radiographic Marker?

Your Preference

Your Preference

Scan Results

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.
Drag & Drop Files, Choose Files to Upload You can upload up to 4 files.

CBCT: Fee of £198.27 includes scan DICOM file on USB and Pathology Report.

OPT: Fee of £61.76 includes scan on USB or sent by email to referring dentist

CBCT and OPT: Fee of £260.03 includes scan DICOM file on USB and Pathology Report.

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.

Patient Consent
I confirm I have the requisite authority to share the patient's information in connection with this referral.

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For your convenience, we are open evenings and Saturday mornings

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