Instant Quotation

This form can only provide a quotation for standard Dent RPA contracts, if you have additional equipment not listed here, would like to discuss volume discounts for large number of practices or have any specific requirements please contact us directly via:

Practice Details
Contact Name
Practice Name
Contact Telephone
Contact Email
Do you have another practice that you would also like to include in the contract?
Second Practice Details
Contact Name
Practice Name
Practice Address
Contact Telephone
Contact Email

Mandatory three-yearly X-ray equipment safety and performance assessment
You practice equipment testing is performed on site by a qualified Dent RPA technician
Please give details of your X-ray inventory
If you are including more than one practice please specify the total number of units accross all practices
Intra-Oral X-ray Units
Panoramic X-ray Units
Panoramic with cephalostat X-ray Units
Cone Beam CT Units

Other Details
When were the three-yearly equipment surveys last performed?
What date would you like the contract to start?
Who is your current provider of RPA services?
Additional Information
How did you hear about Dent RPA ?

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