Download your patient requisition form.
Click on your region below to download a PDF requisition, then CLICK HERE to find your nearest MyHealth Centre with contact information.
If you are a referring healthcare provider, please CLICK HERE for more information.
General Requisitions for Cardiology & Radiology Services:
- Greater Toronto Area
- Sault Ste. Marie
- Southwestern Ontario (Brantford, London, Sarnia & Simcoe)
- Sudbury – Cardiology
- Sudbury – Radiology