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ALL APPOINTMENTS: Tel: 403.777.3000 Fax: 403.777.3001 Online Chat: radiology.ca Toll Free: 1.866.611.2665GENERAL REQUISITION PATIENT & APPOINTMENT INFORMATION Home Phone:PLACE PATIENT LABEL HERE.

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How to fill out the General - Mayfair Diagnostics online

Filling out the General - Mayfair Diagnostics form online can streamline the process of scheduling medical imaging appointments. This guide provides a clear, step-by-step approach to complete the form accurately and efficiently.

Follow the steps to successfully complete the form.

  1. Press the ‘Get Form’ button to access the General - Mayfair Diagnostics form and open it in your online document editor.
  2. Begin by entering your patient and appointment information. Provide your home phone number and any additional contact numbers, along with your name and gender preference.
  3. Fill in your health insurance information, including your AHC or WCB number, and complete your address, city, province, and postal code.
  4. Specify the appointment date and time. Note that some services, such as X-ray, may not require an appointment and are available on a walk-in basis.
  5. Indicate the type of professional services required by checking the appropriate boxes for specific imaging tests such as X-rays, ultrasounds, or other specialized services.
  6. Provide your medical history and presumptive diagnosis if applicable, and include your referral information to assist the medical imaging staff.
  7. Read the patient instructions carefully, as they contain essential preparation guidelines for your imaging procedure.
  8. Once all necessary fields are completed, save your changes, and you may also choose to download, print, or share the completed form as needed.

Complete your General - Mayfair Diagnostics form online today for a seamless appointment scheduling experience.

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Mayfair Diagnostics is owned and operated by over 50 radiologists and employs more than 400 employees. We have been leading the way in delivering specialized and diverse medical imaging services since 1911.

The most common types of diagnostic radiology exams include: Computed tomography (CT), also known as a computerized axial tomography (CAT) scan, including CT angiography. Fluoroscopy, including upper GI and barium enema. Magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) Mammography.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232