Home > Services > Medical Imaging > Requisition Forms
CT Scan
  Heart Scan
  Virtual Colonoscopy
  Lung Scan
  Dental Scan
MRI
Nuclear Medicine
Mammography
Bone Mineral Densitometry
Ultrasound
X-ray
 

  Please note that all requisition forms are in PDF format.
If you do not have Adobe Acrobat Reader, you may download it here for free.

  Computed Tomography (CT Scan / CAT Scan)
Montreal Medical Imaging
   Including:
   Coronary Artery Calcium Scoring
   Virtual Colonoscopy
   Lung Nodule Detection 		500 Sherbrooke St. W. Montreal Download »
Dental CT Scan 500 Sherbrooke St. W. Montreal Download »

  Magnetic Resonance Imaging (MRI)
Montreal MRI Scan Centre 5811 Cote-des-Neiges Montreal Download »

  Nuclear Medicine
Montreal Medical Imaging 500 Sherbrooke St. W. Montreal Download »
Medisys Diagnostic Imaging Yonge Street 1849 Yonge St. Toronto Download »
Edward Street Radiology 123 Edward St. Toronto Download »
Yonge Street Radiology 1849 Yonge St. Toronto Download »
Guelph Nuclear Imaging 83 Dawson Road Guelph Download »
Niagara Diagnostic Imaging Centre 589 Lake Street St. Catharines Download »

  Mammography
Edward Street Radiology 123 Edward St. Toronto Download »
Medisys Diagnostic Imaging Yonge Street 1849 Yonge St. Toronto Download »
Guelph Imaging Centre 55 Wyndham Guelph Download »
Niagara Diagnostic Imaging Centre 589 Lake Street St. Catharines Download »

Toronto Radiologist Services (TRS)

 340 College Street
 Toronto Download »
Northwest Imaging Services 960 Lawrence Avenue W Toronto Download »

  Bone Mineral Densitometry
Edward Street Radiology 123 Edward St. Toronto Download »
Medisys Diagnostic Imaging Yonge Street 1849 Yonge St. Toronto Download »
Guelph Imaging Centre 55 Wyndham Guelph Download »
Niagara Diagnostic Imaging Centre 589 Lake Street St. Catharines Download »

Toronto Radiologist Services (TRS)

 340 College Street
 Toronto Download »
Northwest Imaging Services 960 Lawrence Avenue W Toronto Download »

  Ultrasound
Montreal Medical Imaging 500 Sherbrooke St. W. Montreal  
Edward Street Radiology 123 Edward St. Toronto Download »
Medisys Diagnostic Imaging Yonge Street 1849 Yonge St. Toronto Download »

Toronto Radiologist Services (TRS)

 340 College Street
 Toronto Download »
ATR Laboratories 85 Grenville Street Toronto Download »
Guelph Imaging Centre 55 Wyndham Guelph Download »
Guelph Imaging Centre 85 Norfolk St. Guelph Download »
Guelph Imaging Centre 21 Surrey St. W Guelph Download »
Niagara Diagnostic Imaging Centre 589 Lake Street St. Catharines Download »
Martindale X-Ray & Ultrasound 211 Martindale Road St. Catharines Download »
Northwest Imaging Services 960 Lawrence Avenue W Toronto Download »
Keele Technical 2221 Keele Street Toronto Download »

  X-ray
Montreal Medical Imaging 500 Sherbrooke St. W. Montreal  
Edward Street Radiology 123 Edward St. Toronto Download »
Medisys Diagnostic Imaging Yonge Street 1849 Yonge St. Toronto Download »

Toronto Radiologist Services (TRS)

 340 College Street
 Toronto Download »
Guelph Imaging Centre 55 Wyndham Guelph Download »
Guelph Imaging Centre 85 Norfolk St. Guelph Download »
Guelph Imaging Centre 21 Surrey St. W Guelph Download »
Niagara Diagnostic Imaging Centre 589 Lake Street St. Catharines Download»
Martindale X-Ray & Ultrasound 211 Martindale Road St. Catharines Download»
Northwest Imaging Services 960 Lawrence Avenue W Toronto Download »
Keele Technical 2221 Keele Street Toronto Download »