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William Osler Health System – Brampton Civic Hospital fax number

(905) 494-6539

Diagnostic Imaging

Used for: Submitting radiology requests and related documents (X-ray and mammography) to Brampton Civic Hospital's Diagnostic Imaging department.

Fax destination details

Department
Diagnostic Imaging
Purpose
Submitting radiology requests and related documents (X-ray and mammography) to Brampton Civic Hospital's Diagnostic Imaging department.
Form
X-ray and Mammography Requisition — X-ray/Mammo Requisition Form
Address
2100 Bovaird Dr E, Brampton, Ontario, Canada
Voice phone
905-494-6688

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 patient demographics, health card number, date of birth, exam type, and ordering physician information; fax to the hospital's Diagnostic Imaging fax number 905-494-6539.

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

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