Requisition Form Diagnostic Services Medical Imaging

Requisition Form

In BC, all diagnostic services including MRIs and CT Scans, require a signed requisition from your doctor. If you do not have a family doctor you may be able to access from a physician at a walk-in clinic.

Should you need help with this, please feel free to call and we can assist you.

Call (604) 628-2822

Fax (604) 484-8141

Questions? Contact us.

info@WELLlongevity.ca
(604) 628-2822

306-555 West 8th Avenue
Vancouver, BC V5Z 1C6