Cone-Beam CT Imaging Referral

Cone Beam Computed Tomography (CBCT)

Thank you for your referral to Creighton. Please complete the secure form below.

Questions? Please call Oral & Maxillofacial Imaging at 402.280.4828.

Office Address
Patient Information
Patient Address
Reason for CBCT Scan
Request Details
(within 3 months or less)