Requests for Imaging

Requests for CT scan, MRI, Nuclear Medicine and Ultrasound services please see the South West Digital Coalition’s Forms Repository

General Requests (e.g.  X-ray)

  • Require a X-ray requisition form

Requests for Interventional Radiology, please send faxed request on your letterhead to

  • UH: Fax (519) 663 - 3034
  • VH: Fax (519) 667 - 6872

Referral Guidelines