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How to use or fill out cbct request form with our platform
- Click ‘Get Form’ to open the cbct request form in the editor.
- Begin by filling out the Referring Dentist Information section. Enter your name, department, telephone number, fax number, and mailing address including street, city, state, and zip code.
- Next, move to the Patient Information section. Provide the patient's name, date of birth, Axium number, home address (street, city, state, zip code), and telephone numbers for home, work, and cell.
- In the CBCT Requested section, select the appropriate options for the scan type by checking the relevant boxes. Specify if it’s for implants or other purposes as listed.
- Finally, include any clinical information or diagnosis that may be relevant for the Maxillofacial Radiologist in the designated area.
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Can I use DocHub to create legal electronic signatures on my cbct request form?
Yes, you can use DocHub for signing any business and private documentation, including your cbct request form. All eSignatures you generate with our tool are legally binding and court-admissible, as DocHub complies with standards required by ESIGN and UETA. Save your completed document with a detailed Audit Trail if needed.
How do you edit cbct request form online?
With DocHub, there are several convenient ways to edit your cbct request form online. You can drag and drop the form and edit it straight at the DocHub website or use our browser extension to fill out your form immediately. Additionally, you can edit your PDF on your smartphone, as DocHub works with all the accessible mobile platforms.
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