Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Almonte General Hospital (AGH) and Carleton Place & District Memorial Hospital (CPDMH) – Diagnostic Imaging before sending sensitive documents. FaxFlow is not affiliated with this organization.

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Almonte General Hospital (AGH) and Carleton Place & District Memorial Hospital (CPDMH) – Diagnostic Imaging fax number

(613) 256-8637

Diagnostic Imaging

Used for: Imaging requisitions for X-ray and Ultrasound appointments (requisitions faxed to central booking).

Fax destination details

Department
Diagnostic Imaging
Purpose
Imaging requisitions for X-ray and Ultrasound appointments (requisitions faxed to central booking).
Form
AGH: DI Form #94-08 (Sept. 2024); CPDMH: DI-Form #94-07-20 (Apr 2025) — Diagnostic Imaging Requisition – Outpatient X-ray and Ultrasound (Almonte General); CPDMH Requisition for X-ray and Ultrasound
Address
75 Spring Street, Almonte, ON K0A 1A0; 211 Lake Avenue East, Carleton Place, ON K7C 1J4

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Complete patient and physician details on the imaging requisition; fax to central booking (AGH: 613-256-8637 for X-ray/Ultrasound; CPDMH: 613-257-5197).

Official form instructions are published as a downloadable file on the organization's website.

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