3D SCANNING

There is also the Galileos CT scanning system and we offer patients cone-beam tomography, using low dose x-rays for 3 dimensional re-construction. We also offer this service for those patients having implants placed at their own practices and referrals can be made for CT scanning with or without planning help.

Dental CT Request Form – Download

    Referring Dentist*

    Dental Practice Address

    Dentist Postcode

    Dentist Phone Number

    Patient Name

    Date of Birth (1970-06-30)

    Patient Address

    Patient Postcode

    Tel. No. (daytime)

    Tel. No. (evening)

    Reason for Scan Justification

    Scan Requirements

    Patient to wear radiographic template

    Invoice to

    Scan Format

    Notes

    Please Fax completed form to 01530 836991,
    Email to lrdpcoalville@gmail.com or
    Post to; 79 London Road, Coalville, Leicestershire, LE67 3BJ