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Groves Memorial Community Hospital fax number

(519) 843-7637

Diagnostic Imaging

Used for: Submitting physician requisitions for imaging exams (e.g., X-ray, CT, ultrasound, mammography) and scheduling appointments; Ontario Breast Screening Program referrals are handled separately.

Fax destination details

Department
Diagnostic Imaging
Purpose
Submitting physician requisitions for imaging exams (e.g., X-ray, CT, ultrasound, mammography) and scheduling appointments; Ontario Breast Screening Program referrals are handled separately.
Form
CT Requisition — CT Requisition
Address
131 Frederick Campbell Street, Fergus, Ontario N1M 0H3, Canada

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.

Refer to the hospital's Diagnostic Imaging requisition guidance. Requisitions are faxed to the department prior to booking; OBSP referrals may have separate pathways.

Review official form instructions

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