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To accept your booking you would have to arrive with a signed referral form on the day of the scan.
CT Dent Leeds
Patient Details
This slot is reserved for you for the next
minutes .
Appointment Date
Appointment Time
Title
*
-- Please Select --
Mr
Ms
Mrs
Miss
Dr
Prof
Lady
Lord
Name
*
Date of Birth
*
Patient\'s Gender
*
-- Please Select --
Male
Female
Phone number
*
Mobile
*
Email
*
Confirm Email
*
Possibility of pregnancy
*
-- Please Select --
No
Yes
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"
*
A larger field of view may be necessary depending on the patients anatomy.
Tick to confirm