CBCT Referral for Vitality Northallerton

We welcome referrals from the dental community with convenient access to a team of dental services including: Endodontics, CT Scans, Perio, Ortho and Implants.

Collectively, we offer a patient-focused, multi-disciplinary approach to complex dental problems with the aim of achieving the best possible outcome for your patient.

Vitality Northallerton Brompton Road, Northallerton
DL6 1DY

CBCT Form

Please fill in this multi-part form below with as much detail as possible.

Fields marked with an * are required.

STANDARD IMAGE RESOLUTION WILL BE SUPPLIED UNLESS YOU SPECIFICALLY REQUEST HIGH RESOLUTION OR ENDO (80X50mm FOV only)

Reports: Indicate your preference for radiological interpretation of the dento-alveolar region:
Assistance with planning:
Assistance with case planning at Vitality Dental Care: Price on application.
YOUR PATIENT WILL BE ASKED TO PAY FOR THEIR SCAN AT THEIR APPOINTMENT.