Niagara Falls & St. Catharines X-Rays & Ultrasound Services
info@gnmi.ca

Referring Physicians

Obtaining a Requisition Form for Referring Physicians

We Have 4 Different Ways for Referring Physicians to Get a Requisition Form:

Method 1: Email

Email us at info@gnmi.ca for the form.

Method 2: Phone / Fax

Contact us directly at one of our locations.

Method 3: Print Form Directly

Open the Form. Edit it. Save it. Send it to us.

Nuclear Requisition

Greater-Niagara-Requisition

Forest Hill Requisition

Greater-Niagara-Requisition

Greater Niagara Requisition

Greater-Niagara-Requisition

Hamilton Requisition

Hamilton-Requisition

Stratford Requisition

Statford-Requisition

Method 4: Fill in Form

St. Catharines

464 Welland Ave
St.Catharines, ON L2M 5V4
E-mail: info@gnmi.ca
Phone: (905) 684-6388
Fax: (905) 684-6389
Map & Hours

St. Catharines

120 Welland Ave
St. Catharines ‎ ON‎ L2R 2N3
E-mail: info@gnmi.ca
Phone: (905) 682-8629
Fax: (905) 682-9079
Map & Hours

St. Catharines

245 Pelham Rd. Suite 213
St.Catharines, ON L2S 1X8
E-mail: info@gnmi.ca
Phone: (905) 685-0132
Fax: (905) 685-4547
Map & Hours

Niagara Falls

7885 McLeod Rd. Unit 114 Niagara Falls, ON L2H 0G5
E-mail: info@gnmi.ca
Phone: (905) 354-8448
Fax: (905) 354-4664
Map & Hours

Niagara Falls

5400 Portage Road Suite B2
Niagara Falls, ON L2G 5X7
E-mail: info@gnmi.ca
Phone: (905) 356-6101
Fax: (905) 356-9937
Map & Hours

Stratford

444 Douro St. Suite 102
Stratford, ON N5A 0E6
E-mail: info@gnmi.ca
Phone: (519) 273-1721
Fax: (519) 273-1928
Map & Hours

Welland

555 Prince Charles Dr. N #114
Welland, ON L3C 6B5
E-mail: info@gnmi.ca
Phone: (905) 735-2929
Fax: (905) 735-2969
Map & Hours

Hamilton

631 Queenston Rd Suite 105
Hamilton,‎ ON‎ L8K 6R5
E-mail: info@gnmi.ca
Phone: (905) 560-8434
Fax: (905) 667-3093
Map & Hours

Hamilton

260 Nebo Rd, Unit 5
Hamilton‎, ON‎ L8W 3K5
E-mail: info@gnmi.ca
Phone: (905) 318-4082
Fax: (905) 318-9747
Map & Hours

Toronto

491 Eglinton Ave W Suite 302
Toronto, Ontario M5N 1A8
E-mail: info@fhmi.ca
Phone: (416) 640-1103
Fax: (416) 640-1106
Map & Hours