The Row Dental is a specialist dental practice that accepts referrals from dental practitioners.
Confirmation of Irmer Referrer Training*
I have undertaken training required to satisfy the minimum criteria as an Irmer Referrer / Conebeam CT which is covered on pages 49, 50 and 51 of the Guidance of Safe Use of Dental Cone Beam CT (Computed Tomography) Equipment prepared by the HPA Working Party of Dental Cone Beam CT Equipment. (Click to read guidance notes)
Region to be scanned
Small Volume (sectional Scan 4-5 teeth)MandibleZygomasMaxillaeBoth
Patient to wear stent provided by dentist?*
Please Select *YesNo
In accordance with IR(ME)R 2000 a clinical justification must be provided for each dental CBCT scan and the scan must be clinically evaluated by someone trained in the analysis of dental CBCT scans.
Reason for Referral and Justification for the scan*
Special Instructions to IRMER operator involved in scan acquisition*
Please select services required*
Standard CT Scan (includes free viewing software or email) (Suitable for Nobelguide if you have the Nobelguide software)
Dental CBCT Scan for small volume or single jaw : £99Dental CBCT Scan for both jaws : £180
DeliveryCBCT will be sent via email
Please include any relevant file attachments such as radiographs, clinical notes or photographs. We accept the following files: JPG, PNG, DOC, DOCX, PDF
Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 64 MB.
Any Additional Comments
Reporting of Scans
I fully understand and accept that The Row does not report on the scans and radiographs requested by referring GDPs
I am the IR(ME)R referrer/operator I am adequately trained to report on my patients scan
I confirm that I fully understand that to comply with IR(ME)R regulations all scans must be reviewed and reported into the patient's clinical records by myself the referring GDP
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