OPT & CBCT Referral Form
Please note: For first time referrals please complete the SLA linked below and attach it to your referral form. This only needs to be completed once for each practice and referring dentist unless any changes are made.
Upload any necessary documents or radiographs (for first time referrers, please download and complete the SLA and attach here)
OPT - £50
CBCT - £150
Thanks for sending your referral! We will be in touch soon