For Office Use Only Date of Appointment: Time:MAXILLOFACIAL DIAGNOSTIC IMAGING SERVICES One Kneeland Street, Boston MA 02111 ConeBeam Computed Tomography (CBCT) Referral Referring Dentist Information.
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How to fill out the Tufts University Cone-Beam Computed Tomography (CBCT) Referral Form online
This guide provides clear and comprehensive instructions for filling out the Tufts University Cone-Beam Computed Tomography (CBCT) Referral Form online. By following these steps, users can ensure that all necessary information is accurately submitted for diagnostic imaging services.
Follow the steps to complete the referral form online.
- Press the ‘Get Form’ button to access the form and open it for editing.
- Begin with the referring dentist information section. Fill in the name and department of the referring dentist. Provide their telephone number and fax number.
- Complete the mailing address by entering the street, city, state, and zip code for the referring dentist.
- Move to the patient information section. Enter the patient's name and date of birth. If available, provide the patient’s Axium number.
- Fill out the home address for the patient, including the street, city, state, and zip code.
- Input the patient's telephone numbers in the respective fields for home, work, and cell.
- In the CBCT requested section, select the appropriate option(s) for the CBCT request, including specifics about implants, the area of focus, and any relevant fees.
- Provide any clinical information, diagnosis, or additional details that might assist the maxillofacial radiologist.
- Review all the information for accuracy to ensure that all necessary fields are completed.
- Once all sections are filled out, users can save the changes, download, print or share the completed form.
Submit your completed Tufts University CBCT Referral Form online today.
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Is there parking at Tufts Dental School?
Discounted parking is available in the Tufts Medical Center garage at 274 Tremont Street, next to the Citi Performing Arts (Wang) Center. To get reduced parking rates, parking tickets must be validated at one of the dental school's reception areas.
Does Tufts Dental school accept international students?
The Dental International Student (DIS) Program at Tufts University School of Dental Medicine began in 1956 to provide foreign-trained dentists with the education and experience required to practice dentistry in America.
How do I contact Tufts Dental school?
On this page you will find important information for planning your visit to Tufts University School of Dental Medicine. Before visiting us, please make an appointment by contacting Admissions at denadmissions@tufts.edu or 617-636-6639.
Is Tufts Dental School hard to get into?
Acceptance to Tufts Dental Medicine is highly competitive....Tufts University School of Dental Medicine. MottoPax et Lux (Peace and Light)Students703LocationBoston , Massachusetts , U.S.CampusUrbanColorsBrown, Blue5 more rows
Is Tufts Dental hard to get into?
Acceptance to Tufts Dental Medicine is highly competitive....Tufts University School of Dental Medicine. MottoPax et Lux (Peace and Light)TypePrivateEstablished1868DeanDr. Nadeem KarimbuxStudents7035 more rows
How to contact Tufts University School of Dental Medicine?
On this page you will find important information for planning your visit to Tufts University School of Dental Medicine. Before visiting us, please make an appointment by contacting Admissions at denadmissions@tufts.edu or 617-636-6639.
How to get an appointment at Tufts Dental school?
To make an appointment or request more information, please call 617-636-6998 or fill out the form below.
Does Tufts University have a dental school?
For over 150 years, Tufts University School of Dental Medicine (TUSDM) has been a paragon of academic and clinical excellence. Learn more about our DMD Program, International Student DMD Program, Postgraduate Programs, and Pre-Dental Non-Degree Program and apply today!
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