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REQUISITION FORMS

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ALBERTA

Mayfair Diagnostics Cardiac Requisition

Mayfair Diagnostics Coronary CT Angiography Requisition

Mayfair Diagnostics General Requisition

Mayfair Diagnostics MRI/CT Requisition

Mayfair Diagnostics Pain Management Requisition

Mayfair Diagnostics Vascular Ultrasound Requisition

SASKATCHEWAN

Mayfair Diagnostics Regina General Requisition

Mayfair Diagnostics Saskatchewan Liver Studies Requisition

Mayfair Diagnostics Saskatchewan MRI Requisition

REFERENCE MATERIALS

Alberta MRI/CT Price List

Breast Imaging FAQ

Saskatchewan MRI Price List

Prostate Artery Embolization Factsheet

Uterine Fibroid Embolization Factsheet

GUIDELINES

Canadian Association of Radiologists Referral Guidelines

Mayfair Diagnostics BMD Reference

Osteoporosis Canada Clinical Practice Guidelines

PLEASE NOTE: Guidelines are evidence-informed, based on expert opinion or case studies. Their purpose is to assist referred and do not diminish the freedom of practitioners to determine and order imaging studies for their patients.

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