Requisition Forms

We’re currently updating our requisition forms, sorry for the inconvenience.

Lloydminster PDF
Bonnyville PDF
Wainwright PDF
North Battleford PDF
Hinton PDF
Weyburn PDF
Meadow Lake PDF

Practitioner Guidelines

Guidelines for the use of diagnostic medical imaging can be challenging for primary care givers and specialists alike. Every patient must be evaluated on a case-to-case basis given the complexity of medical alignments and conditional circumstance which may arise. The American College of Radiology (ACR) has worked extensively with physicians across the country in the attempt to build a framework for appropriate referral patterns (ACR Appropriateness Criteria). For more information and to access the ACR Guidelines please visit


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