4, Complexe Desjardins, Niveau 4, Montréal (Qc)   |   Phone : 514-281-1355    |   Fax : 514-281-0262   |    FRANÇAIS

L'IMAGERIE POUR LA VIE

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Patients : Book an appointment

Please complete every field of the form.

Date of birth :   (jj/mm/aaaa)
Name and Surname:
Phone number :   
Fax number : (optionnel)   
E-mail address :
Health Insurance Number :
 
Computed Tomography (CT Scan)


Doppler


General radiology (without appointment)


Magnetic resonance imaging (MRI)


Mammography


Osteodensitometry


Specialized radiology


Ultrasound and Doppler


*For MRI or CT exams, please fax (514-281-0262) your requisition and we will contact your patient to set up an appointment.
Other examinations :
 
AVAILABILITY :
Date :
Comments :
 
CONFIRMATION:

Please take note that we answer all appointment requests by email only.
 
IMPORTANT: Please ask patient to bring his/her Medicare card on the day of the examination, making sure it is still valid.

EXAMEN(S) :
CLINICAL INFORMATION PLEASE