Most scans need a requisition from your physician or nurse practitioner — send it along with this form. A few scans can be booked without one; if you’re unsure, just ask and we’ll advise. We’ll confirm your appointment and preparation details. Prefer to talk it through? Call (877) 957-1194.
Most diagnostic scans need a requisition. We'll let you know if yours does before confirming.
Submitting sends a request only. We'll confirm your time and any prep by phone or email.
PREP VARIES BY SCAN — some abdominal and pelvic studies need fasting or a full bladder. We'll send the exact instructions for your scan when we confirm.
Prefer to book by phone, or fax a requisition?
Call (877) 957-1194Download requisition (PDF)FAX REQUISITIONS TO 306 271 3535