Dental CT Scan Referral

Essex Ct Scan accepts referrals from other dentists and dental practices. To make a referral for a dental CT Scan, please complete the form below.

Please be assured we will neither approach nor accept your patient for non-referred treatment. We are located in the heart of Stanford-Le-Hope, Essex and are renowned for high quality, affordable patient care.

    Referring Practitioner





    Patient Details







    (Parallel to occlusal plane unless requested otherwise)
    CT MaxillaCT MandibleCT of both jawsPlease tick if you would like CT Maxilla to show 20+mm maxillary sinus (e.g. prior to sinus lift)

    YesNo



    Patient’s will be requested to make payment at the Scan appointment.
    Please indicate if you prefer the referring practitioner to be invoiced

    OUR FEES

    One Jaw

    £150

    Both Jaws

    £250

    OUR ETHOS

    We promise to work ethically with you and return your patient back to you. We will involve and inform you of your patient’s treatment every step of the way.

    We will support you and your dental clinic, mentor and help you develop your skills & CDP.

    We will endeavour to treat your patients with the utmost care and diligence.

    GENERAL ENQURIES

    • 0333-360-1919
    • enquiries@essexctscan.com

    • 26 Corringham Rd,
      Stanford-le-Hope
      Essex SS17 0AH

    OFFICE HOURS

    Monday – Thursday 9:00 – 19:30
    Friday 9:00 – 5:30
    Saturday 9:00 – 4:00
    Sunday Closed