Guelph Medical Imaging believes in partnering with their referring physicians in order to maintain and provide the highest quality of diagnostic information. This ensures complete and accurate diagnoses the first time and, helps you as the referring physician achieve and maintain your high quality of care.
As a referring physician we ask that you complete, as accurately as possible, the referral form found below. This helps your patient move through our streamlined referral process flawlessly, in fact most procedures can be accommodated same day. However, as added benefit if your patient is considered an emergency case or you require the procedure immediately, please call our reception at 226-314-0778 and we will do our best to accommodate your request.
To book an appointment
Physicians Referral Form
To book an appointment for your patient, please fax your patients Referral form to 519-763-8242 (Cardigan).
Click here... for the Physician Referral Form.
Nuclear Medicine Services Form
To book an appointment for your patient, please fax your patients Nuclear Medicine Services Form to 519-763-3345 (Dawson).
Click here... for the Nuclear Medicine Services Form.