Request an Appointment Important Notes: A signed requisition from a licensed Ontario healthcare provider — such as a Physician or Nurse Practitioner — is required to schedule diagnostic imaging tests. This form is for requesting New Appointments Only. Please note: We perform Ultrasound, X-ray, and BMD (Bone Mineral Density) exams. Steps: Acquire a signed requisition from your healthcare provider Fill out the form below to request an appointment Once your request is received, our team will contact you directly. Please allow 24–48 hours for a response. Note: All fields marked with an asterisk (*) are required.’First Name*Last Name*Phone*Email* Requisition Form*Max. file size: 32 MB. Message