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Oshawa Imaging Centre

REQUEST FOR CONSULTATION. Oshawa Imaging Centre Courtice Imaging Oshawa Clinic Courtice Health Centre Taunton Health Centre 117 King St. E., Oshawa , On. L1H 1B9 1450 Highway #2, Courtice, On L1C 3C3 1290 Keith Ross Court, Oshawa L1H 7K4. Ph. 905 721-3588 fax905 721-3560 Ph. 905 721-4932 Fax 905 721-3524 Ph. 905 721-7702 Fax 905 721-7704. PLEASE BRING HEALTH CARD AND THIS REQUISITION. DIAGNOSTIC Imaging . NAME:_____. ADDRESS: _____ OHIP # PATIENT LABEL. _____. HERE. _____M _____D _____Y PHONE #: ( ) _____. WSIB:_____. APPOINTMENT: DATE: _____ TIME: _____. (INSTRUCTIONS: SEE REVERSE). X-RAY ULTRASOUND: BY APPOINTMENT ONLY. BY APPOINTMENT ONLY. GI Tract Upper GI Series VASCULAR: MUSCULOSKELETAL: Small Bowel Bone Density Includes Current Radiographs Air Contrast Enema BY APPOINTMENT Duplex Carotid Doppler Rt.

REQUEST FOR CONSULTATION Oshawa Imaging Centre Courtice Imaging Oshawa Clinic Courtice Health Centre Taunton Health Centre 117 King St. E., Oshawa, On. L1H 1B9 1450 Highway #2, Courtice, On L1C 3C3 1290 Keith Ross Court, Oshawa L1H 7K4

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