CT Scan / OPG Referral

Confirm Irmer Referrer Training *
Region to be Scanned *
Patient to wear stent provided by dentist ? *
Due to the many different types of radiographic stents, it is essential that you ensure that your patient is competent in positioning it to your specifications. *
2nd scan, of stent, required ? *
Confirm image only *
Radiologist report needed *
Treatment Costs *
NOTE : CT-Scan files will be given to the patient on a CD with the required viewing software.
Acceptance *