Agreement
Service-Level Agreement for the referral of patients to CENTRE OF DENTAL EXCELLENCE for Dental Cone Beam CT Examinations
This agreement is between the Referring Practice, Referring Practitioner and the Centre Of Dental Excellence
Justification:
I agree to use the referral criteria as per the European Guidelines: Radiation Protection No. 172 and provide adequate clinical information in order for each examination to be justified.
I will make my own arrangement for the reporting of the CBCT scans acquired at the Centre of Dental Excellence. This will be done by someone adequately trained as per HPA-CRCE-010-Guidance on the safe use of Dental Cone Beam CT. I confirm that I am adequately trained to interpret cone beam CT scans as per HPA-CRCE-010-Guidance on the safe use of Dental Cone Beam CT. I will ensure that my training remains up to date.