Requisition Form.

Download Fillable Requisition Form

Once downloaded and filled out, upload the form to the panel on this page.

For Medical Staff & Facilities

TELUS PS Suite EMR Form

This file can only be uploaded and viewed through TELUS PS Suite.

OSCAR EMR Form

This file can only be uploaded and viewed through OSCAR EMR.

Submit your online requisition form.

Please note, when requesting STAT or URGENT examinations, in addition to submitting this E-Referral; you must contact us at (416) 239 -3568 to discuss your urgent request.

No appointment required for X-Ray
Enter a date, or a range of dates
Click or drag a Requisition of Referral file to this area to upload.

Request An Appointment

Office

3101 Bloor Street West, Suite 103, Toronto, ON, M8X 2W2.

Contact

Tel: (416) 239 – 3568
Fax: (416) 239 – 3569
Email: help@hbmi.ca

Open Hours

Monday – Friday: 8:00am — 5:30pm
Saturday: 8:00am — 4:00pm
Sunday: Closed

*X-Ray hours may vary, please contact us for more information

No appointment required for X-Ray
Enter a date, or a range of dates
Click or drag a Requisition of Referral file to this area to upload.