Referral Forms

Below you will find direct links to downloadable referral forms. If you need this information in another format, please contact us.

Please note: Diagnostic Imaging services are now using Ocean eReferral. Faxed referrals are accepted, however, faxed referrals have a longer processing time than eReferral.

Cardiac Wellness Referral Form

Community Paramedic

Consultation On Outside Imaging Studies

CT Requisition

Diabetes Care Referral Form

Echocardiography Requisition

General Radiology Requisition

Mammogram Requisition

MRI Requisition (Available as of August 18, 2025)

MRI Requisition, Additional Information Notification (Available as of August 18, 2025)

Musculoskeletal (MSK) Central Intake, Assessment and Management program

Nuclear Medicine Requisition

Ontario Health atHome Medical Referral

Outpatient IV Iron Infusion Order Set

Peripherally Inserted Central Venous Catheter (PICC) Referral

Pulmonary Function testing (PFT)

Satellite Hemodialysis Patient Referral Checklist

TeleCheck Referral Form

Ultrasound Requisition

Did you find the referral form you were looking for? If not you can contact us and we will do our best to help you.