Doctors Online Booking 2022

To accept your booking you would have to arrive with a signed referral form on the day of the scan.

CT Dent Birmingham

Patient Details

This slot is reserved for you for the next minutes .

Appointment Date

Appointment Time

Title *

Name *

Date of Birth *

Patient\'s Gender *

Phone number *

Mobile *

Email *

Confirm Email *

Possibility of pregnancy *

Upload Referral

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Supported formats: JPG, JPEG, PNG (Up to 10MB file size)

The patient consents under the referral process to have an x-ray exposure and understands what it involves. I have provided the patient with adequate information relating to the benefits and risks associated with the radiation dose. For children under the age of 16 the parent or guardian agrees. *

This patient is subject to safeguarding.

I have read and agree to abide by CT Dent's "Standard Terms and Conditions" *