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Requisition Form
To ensure a smooth diagnostic experience, please have your referring doctor complete our requisition form and email it to referral@frontier-diagnostics.ca before your visit.
This document provides us with the necessary authorization and information for your specific imaging needs.
We also accept referrals via Ocean eReferral and fax.
Questions? If you have any trouble accessing or completing the form, please call our clinic at 519-763-4406 for immediate assistance.
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