Download editable pdf referral form 
Online referral form
How to download scans sent via WeTransfer
Make dental CBCT referrals easily online
If you have a patient who would benefit from a CBCT scan to help with planning for dental implants, oral surgery, endodontics or anything else, we’d love to help.
We use the CS81003D CBCT Scanner which gives high quality images at a low dose to the patient.
When you refer a patient to us, we will contact them to arrange their scan appointment, then share the scan with you via WeTransfer.
The file sharing includes easy-to-use Carestream viewing software, although you can view the scan on other software if you prefer.
We can also accept referrals for 2D panoramic radiographs. Use the webform below and specify this in the notes section
Fees for referred patients:
- CBCT Scan (single jaw): £150
- CBCT Scan (dual jaw): £225
- Radiologists report single jaw: £99
- Radiologists report dual jaw: £150
- Panoramic 2D radiograph £49
We would ask your patient to pay us directly.
Option 1: Send us a pdf
The best way to have a copy of the information for your patient’s records.
Option 2: Complete the online form
Quick and Easy, can be completed on a tablet or mobile – you will get a copy of the referral by email.
How to access CBCT scans sent via WeTransfer
CBCT Download instructions