SUBmit an

OUTPATIENT REFERRAL

Please use the form below if you would like your patient to be seen as an outpatient appointment. When submitted, this form will be sent directly to our email.

 

Owners are not permitted in the ultrasound room.

The outpatient ultrasound service differs from our regular consultation service:

  • It is designed for diagnostic imaging and interpretation only. 

  • We will not provide any diagnostic information or treatment recommendations directly to the client. All findings will be sent directly to you (ultrasound interpretation and recommendations). 

  • Our doctors will not be able to provide extensive follow up consultation on these patients.  For follow up questions please submit a consultation form and provide all necessary information.