Get Icat Cbct Consent

Filling out the Icat Cbct Consent form online is a simple process that ensures you understand and consent to the use of advanced imaging technology. This guide will walk you through each section of the form, helping you provide the necessary information with ease.

Follow the steps to complete the Icat Cbct Consent form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter your full name in the 'Patient name' section to identify yourself as the individual receiving the imaging services.
3. Fill in the 'Patient ID#' field to provide identification that corresponds to your medical records.
4. Indicate the 'Reason for scan' by briefly explaining the purpose of the CBCT imaging. This helps the professionals understand your specific needs.
5. Add the 'Date of scan' in the designated area to document when the imaging is scheduled to take place.
6. In the section regarding referral for additional reading, select 'Yes' if you would like your scan interpreted by an oral radiologist. If you choose this option, provide the email and/or mailing address for receiving the results.
7. If you decline the referral, select 'No', confirming that you understand the risks and benefits of not having your CBCT scan read by a specialist.
8. Sign the form in the 'Signature of responsible party' section to acknowledge your consent. If applicable, ensure it is signed by the person responsible for the patient.
9. Finally, fill in the 'Date' field where you sign to indicate when the consent was given. After completing all sections, you can save your changes, download, print, or share the form as needed.

Complete your Icat Cbct Consent form online to ensure a smooth imaging process.