Imaging Referral
Please download and fill out the Imaging Referral Form and Fax it to (289) 396-1513 or complete the fillable form below to submit via email. To schedule an appointment please call us at (289) 389-4317
Keep in Mind
- Metallic jewelry, partial dentures, and hair clips will need to be removed for the scan.
- If your dentist has made a radiographic guide (stent) for you to be scanned with, please make sure it fits properly and remember to bring it with you.
- These scans are not covered by medical insurance because they are not medical scans. Your dental insurance may cover the procedure. You can find out beforehand by calling your insurance company to find out if they cover insurance code 02931 or 07011.