Dental Center Imaging

     REFERRAL SLIPS

 

-As with all dental imaging centers state law requires that we have a referral slip

 stating what images the patient needs and your doctor authorization.

-To the right please download the .pdf of our slip for your patient.

-Downloadable referral slip are also in your free box.com folder if we have set up

 a box.com account with our office.  Please email or call for more info.

-Please have patient bring or doctor email referral slip for their appointment.

-Flex spend cards, Master Card, Visa, American Express, Cash are all welcome 

 for payment.
-Please have patient bring Insurance information and we can complete a claim for    

 them, to assist with any reimbursement due to patient from their insurance provider.

-Most images can be uploaded to your box.com account same day, with hard copies 

 when required to be sent out with in 24hour.