Cambridge Memorial Hospital now accepts physician eReferrals directly from our website:
Diagnostic Imaging eRequisition Form
(for x-rays, mammogram, bone densitometry, CT, ultrasound and nuclear medicine)
You may also send an eReferral to us using the local health service directory OceanHealthLinks.ca.
For Telus Practice Solutions EMR users:
Please see below to download a custom form to send eReferrals directly from your PS Suite EMR (with no additional login required).
PS Custom Form for Diagnostic Imaging eRequisition: (Installation instructions)
https://s3.amazonaws.com/ocean.pss/CMH+Diagnostic+Imaging+eRequisition.cfm (right click -> Save As to download the file)
PS Custom Form for MRI eRequisition: (Installation instructions)
https://s3.amazonaws.com/ocean.pss/CMH+MRI+eRequisition.cfm (right click -> Save As to download the file)
For other EMR users or those without an EMR:
If you do not wish to send an eReferral, faxed referrals are still acceptable.
DI Referrals (DI Requisition) can be faxed to (519) 740-4904
MRI Referrals (MRI Requisition) can be faxed to (519) 740-4969
If you require assistance with your e-referral, please contact us.
Diagnostic Imaging: (519) 621-2333 ext 2230
MRI: (519) 621-2333 ext 4968