We offer a referral service for both 2d and 3d radiography. Offering pre-bookable and a walk in service for patients needing Cephs, Opgs and CT scans. Please complete the following form.Alternatively you may download the referral form, complete and give to your patient to bring with them.

Referring Practitioner

Patient details

Examination required

Case description

Examination Required


Please note: All photographs submitted to us will be kept strictly confidential and not shared with any third party.

IRMER 2000 Regulations: London Smile Clinic does not routinely report upon scans and radiographs. To comply with the IRMER 2000 regulations all radiographs and scans are required to be reviewed and reported into the clinical notes by the referring practitioner or by a radiologist. London Smile Clinic strongly recommends that all CT and other radiographic examinations should be reported upon to rule out the possibility of coincidental pathology.

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