Market Place Dentistry, Quality Dental care in Thirsk, Yorkshire
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Dental CBCT scan referrals

Download editable pdf referral form 
Online referral form

How to download scans sent via WeTransfer


Make dental CBCT referrals easily online

CBCT Referrals – Training and Reporting Requirements

To comply with regulatory requirements, we are required to hold a physical or scanned copy of your Level 1 CBCT training certificate before accepting referrals from dental practitioners. Once this documentation is on file, we will continue to accept referrals from you without further need for resubmission.

If you do not hold a Level 2 CBCT qualification, a formal report must be arranged. This can either be organised by yourself, or we can arrange reporting on your behalf – please indicate your preference on the referral form.

If you are Level 2 CBCT trained, you may report on the scans yourself, forward them to a third-party reporter, or request that we arrange reporting for you.

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.

Accessing Your CBCT Scan

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 a private and personal cloud based website OneDrive) which you can freely access any CBCT scans.

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.

Timelines

Sending CBCT scans can take up to 5 working days in busy periods from the date that the patient attended the practice.

Sending CBCT reports can take up to 15 working days in busy periods as we use a third party company to do the reports who themselves can take up to 10 working days.


Fees for referred patients in 2025:

  • CBCT Scan (single jaw): £175
  • CBCT Scan (dual jaw): £250
  • Radiologists report: £85
  • Panoramic 2D radiograph: £75

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.

    1. Download our editable pdf to complete on your computer
    2. Complete the form. Save a copy for your patient's record.
    3. Once saved, send us a copy using the form below

    Referring dentist's details











    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.

      Patient information



      DoB*





      Referring Dentist's Details (IRMER Referrer)





      Clinical Details

      Field of View:*
      2D Panoramic radiograph - full view2D Panoramic radiograph - sectional viewCBCT Small field (5x5cm)CBCT Full Upper Jaw (8x5cm)CBCT Full Lower Jaw (8x5cm)CBCT Both Upper & Lower Jaws (8x8cm)

      Endo HD view required?High resolution for small FoV images only, not available for full jaw views. Gives higher dose, not usually justified for surgical/implant

      Radiologists report required?* (£85 for single jaw)

      I confirm that I have completed training to the appropriate level as described in the FGDP publication Guidance Notes for Dental Practitioners on the Safe Use of X-ray Equipment. If I have not requested a report, I understand that I am responsible for completing or commissioning a report myself.



      How to access CBCT scans sent via the OneDrive