Make sure the Requisition Form is completed and is signed by a physician. Requisition Forms Page
If the requested scan is for insurance coverage/disability (including section 44 requests) please complete the Insurance Company Agreement found on the Requisition Forms Page as in Step 1, above. The Agreement form must be signed by the insurer or their agent. Note: WSIB, Veteran's Affairs, and Militrary requests do not require Agreement form. Please ensure the patient's claim number appears on the requisition.
Fax the completed forms to 905 765 7099 / toll free 1 866 307 1247