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First body area:

How long have you been complaining of symptoms in first body area?:

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What symptoms do you have in the first body area?

Difficulty in moving

Dull ache

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Headache

Limitation of movement

Limping

Numbness

Pain - sharp

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Second body area scan:

Second body area symptoms:

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Third part body area scan:

Third body area symptoms:

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Fourth part body area scan:

Fourth part body area symptoms:

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Referral letter

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Please note the referral letter should:

be issued by a registered GP, Doctor, Consultant, Specialist, Physiotherapist or Osteopath;

contain the patient’s full name and date of birth;

specify the indications or symptoms, the type of scan requested and the body area(s) to be scanned;
be signed and show the GMC or other registered number of the referring party.

Other medical information

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Have you had any surgery in the last 8 weeks?

Do you have a cardiac pacemaker?

Do you have any metal implants or prostheses?

Do you have any metal fragments in the eye?

Are you pregnant?

Are you breast feeding?

Do you suffer from claustrophobia?

Do you have an aneurism clip?

Do you have any of the following:

Allergies

Asthma

Depression

Diabetes

Epilepsy

Heart disease

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Do you have a cochlear implant or neurotransmitter?

Do you have a programmable ventriculoperitoneal shunt?

Do you have kidney/renal impairment?

Have you seen a GP or Consultant regarding this problem?:

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Are you in good general health?:

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Have you had any injuries or accidents?:

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Have you had any operations or scans?:

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Are you taking any medication or tablets?:

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I also consent to my symptoms and medical history being reviewed by the medical team who may contact me for further details and will recommend an appropriate scan or test.

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Price

349 Prices

Specialist Scans
CT One part	£349
CT two part	£549
CT three part	£749
CT four part	£949
CT Angiogram one part	£889
Virtual Colonoscopy	£1,199

Secure Scanners Limited | MRI Scan, CT Scan, Full Body Scan

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CT scan in Orpington, Kent

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Please provide some additional information, so our medical team can provide a referral for your scan:

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Please provide some additional information, and upload your referral letter:

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CT scan in Orpington, Kent

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