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Report Information

Referring Physician Name
Patient Name
D.O.B
Gender
Age
Patient Address
Clinical Notes (Please be comprehensive)
Patient Image/Dataset
Relevant Previous Images/Datasets

Additional Services

Lateral cephalogram

Plain film lateral cephalogram

$ 38.50

Postage of Reports and Media

Postage and handling costs for return of hard media via Express Post (eg disc or USB)

$ 27.50

Panoramic (OPG)
Panoramic report

A report on a standard 2D panoramic image (pricing includes GST)

$ 49.50

Secure payments

PO Box 2450, Kew, Victoria 3101, Australia

Tel. +61 3 9816 9026

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