Intravenous Sedation Referral form
Andover Dental Practice
Call us 01264 362892
45 Charlton Rd, Andover, SP10 3JY
To comply with IRMER 2000 IRR 99 Regulations all radiographs and scans must be reviewed and reported in to the clinical records by the referring GDP or Radiologist. Scan will be provided in Dicom Tm Format with viewing software
Please be assured that we will neither approach nor accept your patient for non-referred treatment.