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Requisition Forms
We accept requisitions from any doctor. Download the fillable form, complete it, and fax it to the location your patient prefers.
Ultrasound / Breast Imaging / X-ray
General, obstetrical, musculoskeletal and vascular ultrasound; screening and diagnostic mammography with tomosynthesis; breast ultrasound; X-ray; bone density. Fillable PDF for both locations.
Pain Management and guided procedures
Ultrasound and X-ray (C-arm) guided injections, thyroid and breast FNA or core biopsy, and fluid aspiration. Fillable PDF.
How referral works
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Download the form
Ultrasound, breast imaging and X-ray use one form. Pain management and biopsies use the other.
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Fill it in
Add patient details, history and the exam. Mark Urgent or Stat and give a fax or phone number for a stat report.
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Fax it to us
Send it to Taradale or Nolan Hill, or give it to your patient to bring.
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We book the patient
Our booking team calls the patient to confirm the date and time.