REFERRING
  PHYSICIAN
PORTAL
(Fairview) 416-499-3559
(Finch) 416-293-5940
(Sheppard) 416-613-8678
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    • Request OBSP Mammogram Via Ocean Self Referral - 5 Fairview
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Healthcare Providers

For physicians

Please download the following Physician Requisition forms:

Please right click and then “save as” to download and then print any PDF.

  • Lighthouse Medical Imaging Requisition – English & Chinese
  • Lighthouse Medical Imaging Requisition – English & Farsi
  • Lighthouse Medical Imaging Thyroid Biopsy Information Sheet
  • Lighthouse Medical Imaging – for OSCAR EMR – English & Chinese
  • Lighthouse Medical Imaging – for OSCAR EMR – English & Farsi
  • Lighthouse Medical Liver Elastography – for OSCAR EMR
  • Lighthouse Medical Liver Elastography Requisition – English & Chinese
  • Lighthouse Medical Liver Elastography – FILLABLE PDF
  • Instructions for importing requisitions to OSCAR
  • Lighthouse Medical Imaging – Requisition – English & Chinese for TELUS PS SUITE
  • Lighthouse Medical Imaging – Requisition – English & Farsi for TELUS PS SUITE
  • Instructions for importing requisitions to TELUS PS SUITE

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Portable Document Format (PDF).

Click the following image link to download and install the latest version of Adobe Reader.

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