WVU School of Dentistry - Patient Services - Conebeam (CBCT) Imaging
Please download the form listed below in order to order Conebeam Imaging from WVU Dental Care.
If you cannot download the form above please try the forms listed below.
ConebeamForm-Page1 (PDF version for Mobile users or users unable to view Editable Version)
ConeBeamForm-Page2 (PDF version for Mobile users or users unable to view Editable Version)
*Note -- you must be running Adobe Acrobat 9x or above to fill in this form correctly. Click here to download Adobe Acrobat Reader.