Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Brockville General Hospital before sending sensitive documents. FaxFlow is not affiliated with this organization.
Brockville General Hospital fax number
(855) 564-1878
Diagnostic Imaging and Cardiovascular Services - Ultrasound
Used for: Submitting ultrasound requisitions to schedule ultrasound examinations.
Fax destination details
- Department
- Diagnostic Imaging and Cardiovascular Services - Ultrasound
- Purpose
- Submitting ultrasound requisitions to schedule ultrasound examinations.
- Form
- Ultrasound Requisition — Ultrasound Requisition Form
- Address
- 75 Charles St., Brockville, ON K6V 1S8, Canada
- Voice phone
- 613-345-5649
- Website
- Visit organization website
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.
Fill in patient information, date, referring clinician name and signature, and the clinician fax number. Use the Brockville General Hospital-specific requisition form and fax to the number 855-564-1878.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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