Sault Ste Marie - Health Services for North East 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your patient information. Fill in your full name, address, city, province, postal code, and contact numbers. Ensure accuracy as this information is crucial for appointment scheduling.
3. Select the type of examination required by checking the appropriate boxes under the 'Ultrasound', 'X-Ray', or other sections. Be specific about which tests you need.
4. Provide clinical information or indications that justify the examination. This helps healthcare providers understand your needs better.
5. Complete the referring physician's information if applicable. Include their name, billing provider number, and signature.
6. Review all entered details for accuracy before submitting the form through our platform to ensure a smooth process.

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