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One Kneeland Street, Boston MA 02111 2017-2026

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Stent patient wearing stent Scan without Stent patient not wearing stent Scan Stent Only 60 fee Full Head Scan with TMJ Orthodontics Maxillary Mandible Full Head Maxillofacial Pathology or Other Clinical information / diagnosis / other relevant information for the Maxillofacial Radiologist Fees One Arch - 347 Both Arches - 404 Full Head - 518 FOR APPOINTMENTS or QUESTIONS CALL 617- 636-6812 PLEASE FAX THIS FORM TO 617-636-3760 or EMAIL cbct tufts....

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Understanding the University Tomography CBCT

The university tomography CBCT refers to a specific imaging technique used primarily in dental and medical fields. CBCT stands for Cone Beam Computed Tomography, which provides three-dimensional images of the anatomy. This technology is crucial for accurate diagnosis and treatment planning, particularly in dentistry, as it allows for detailed visualization of bone structures and teeth. The images produced can help in identifying issues such as fractures, tumors, and other dental anomalies that traditional X-rays may not reveal.

Steps to Complete the CBCT Referral Form

Filling out the CBCT referral form involves several straightforward steps to ensure that all necessary information is provided accurately. Begin by entering patient details, including full name, date of birth, and contact information. Next, specify the reason for the referral, which may include symptoms or specific diagnostic needs. It is also essential to include any relevant medical history that may impact the imaging process. Finally, ensure that the referring physician's information is complete, including their signature and date, to validate the referral.

Legal Considerations for the CBCT Referral

When dealing with the university tomography CBCT referral, understanding the legal implications is vital. The referral form must comply with regulations such as HIPAA, which protects patient privacy. Additionally, the use of electronic signatures must adhere to the ESIGN and UETA acts to ensure that the document is legally binding. This compliance not only secures the patient's information but also ensures that the referral is recognized by healthcare providers and institutions.

Key Elements of the CBCT Referral Form

Several key elements must be included in the CBCT referral form to ensure its effectiveness. These elements typically include:

  • Patient Information: Complete details about the patient, including name, age, and contact information.
  • Referring Physician Information: Name, contact details, and signature of the referring physician.
  • Reason for Referral: A clear explanation of why the CBCT imaging is necessary.
  • Medical History: Relevant medical background that may affect the imaging process.
  • Date: The date of the referral to track the timeline of the patient's care.

Obtaining the CBCT Referral Form

The CBCT referral form can typically be obtained from the healthcare provider's office or the university's imaging department. Many institutions also provide downloadable versions of the form on their websites. It is important to ensure that you are using the most current version of the form to avoid any issues during the referral process. If assistance is needed, contacting the imaging department directly can provide clarity on how to acquire the correct documentation.

Examples of Using the CBCT Referral Form

Utilizing the CBCT referral form can vary based on the specific needs of the patient. For instance, a dentist may refer a patient experiencing severe jaw pain for a CBCT scan to investigate potential underlying issues. In another scenario, an orthodontist might use the form to request imaging for a patient requiring assessment before starting treatment. Each example highlights the importance of accurate completion and submission of the referral to facilitate timely and effective patient care.

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Tufts University Cone-Beam Computed Tomography (CBCT) Referral Form 20174.8 Satisfied (3112 Votes)
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Related links to One Kneeland Street, Boston MA 02111
Directions & Parking | School of Dental Medicine

1 Kneeland Street Boston, MA 02111. Patient Parking Garage Address: Tufts Medical Center Garage 274 Tremont Street Boston, MA 02116. Academic Departments.Read more

Provider Information for 1346586419

SHREWSBURY, MA 01545-5438. United States Phone: 508-845-2462 | Fax: View Map. Primary Practice Address, 1 KNEELAND ST BOSTON, MA 02111-1527. United StatesRead more

Directions & Parking | School of Dental Medicine

1 Kneeland Street Boston, MA 02111. Patient Parking Garage Address: Tufts Medical Center Garage 274 Tremont Street Boston, MA 02116. Academic Departments.Read more

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