Requests for consultation on periapical, bitewing, full mouth, occlusal, panoramic or extraoral skull projection radiograph can be submitted directly through this form. Include the patient’s name and date of birth as well as the nature of the concern, any signs/symptoms and results of vitality testing, where applicable.

There is a nominal fee of $50 per case. An invoice will be returned to your office, so also include your office address.

We also provide consultations for cone beam computed tomography (CBCT). Please send the entire scan, not just selected images. Ensure that the file format used is DICOM compatible. The fee is $75 per case.

Checks should be made payable to VCU Dental Care with "OMR Imaging Diagnostic Service" in the MEMO line. If you prefer to make a credit card payment, please phone (804) 628-7640 to process your information.

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