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Requisitions

If you are a patient, please click on your region below to download a PDF requisition and obtain a signed copy from your referring Ontario Imaging provider*. Then CLICK HERE to find your nearest Ontario Imaging with contact information.

If you are a referring Ontario Imaging provider, please CLICK HERE for more information.

General Requisitions:

  1. Scarborough – X-Ray, General Ultrasound, Vascular Ultrasound and Cardiac Services.
  2. Etobicoke – X-Ray, Holter Monitor, Obstetric Ultrasound, X-Ray and  General Ultrasound.
  3. Mississauga – X-Ray, General Ultrasound, Vascular Ultrasound and Cardiac Services.
  4. Fenonlen Fall – X-Ray, General Ultrasound, Vascular Ultrasound and Cardiac Services.  fenelonfallsdiagnostic.com
  5. Beaverton – X-Ray, General Ultrasound and Cardiac Services.
  6. Tottenham – X-Ray, General Ultrasound, Vascular Ultrasound and Cardiac Services. Bone Density and  Mammography. tottenhamdiagnosticimaging.com
  7. Brampton – Echocardiography, ECG (Electrocardiogram), Holter Monitor, Stress Echo, Ambulatory BP Monitor, Cardiac Consultation. cthrough786diagnostic.com
  8. Richmond Hill – Ultrasound, Echocardiography, Holter Monitor, Stress Echo, Vascular Ultrasound, Ambulatory BP Monitor. richmondhilldiagnosticcenter.com

Specialty Requisitions:

  1. Tottenham – Bone Density and Mammography