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:

Dent RPA Contact page
email: support@dentrpa.com
tel: 0800 6126 810

Practice Details

Fields marked with * are mandatory

Practice Name *
Email *
Address *

Contact Name *
Contact telephone *
Postcode *
County *
Do you have another practice that you would also like to include in the contract? No Yes

Second Practice Details

Practice Name *
Email *
Address *

Contact Name *
Contact telephone *
Postcode *
County *

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

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 ?

Please enter the numbers above

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