We now have PDF & PSSuite versions of our requisitions available for download.

[The latest versions of these were uploaded on Aug 8th 2019]

Access to our requisition site is password protected. To request account credentials please submit theform below and we will send it to you via email. Alternatively you can call 519-672-5270 option# 5 to make this request. Once you have the credentials, please use the log-in form to the right to access the requisitions.

 


Info for Accuro Users: All available versions of our requisitions within Accuro are outdated.

We are working with a local referring Physician's office to create new Accuro compatible forms for you to use. Access to the forms will be made available through Accuro. Until then, please login to access our latest requisitions in PDF format or contact us directly to request updated hardcopy forms (pads) for use in your practice.

      - General Imaging Requisition (Rev. 260318) - [This version is now outdated - please do not use.]

      - Ultrasound and Echocardiogram Requisition [CFM] (Not currently available in Accuro - work in progress)
      - Obstetrical Ultrasound - MFM Requisition [CFM] (Not currently available in Accuro  - work in progress)


Account Credentials Request Form (for PDF & PSSuite files)