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Outpatient Radiology Patient Information: ▲ ▼ Appt: Date: Referring Doctor: ▲ ▼ Copy To: Billable To: MSP ICBC WSCB Other: Exam: Clinical Information: ▲ ▼ Patient Instructions: ▲ ▼

Brooke: Metrotown 100 - 4980 Kingsway Burnaby Ph 604-434-1345 Fax 604-435-1309 UXMB M-F 8-5 Brooke: N Burnaby 4218 E Hastings St Burnaby Ph 604-299-2666 Fax 604-299-5773 UX M-F 8:30-5 Greig: Victoria Dr 5732 Victoria Dr Vancouver Ph 604-321-6774 Fax 604-321-6626 X M-F 8-6:30; Sa 8-5 UM M-F 7:15-9 pm, Sa 7:15-5 by appt only Greig: Oakridge Suite 219 - 650 W 41st Ave Vancouver Ph 604-261-3177 Fax 604-264-4815 X M-F 8-5; Sa 9-5 B M-F 8-5; by appt only Greig: Victoria Dr 5752 Victoria Dr Vancouver Ph 604-321-6769(B)/6770(SMP) Fax 604-327-6767 SMP M-F 7:30-7:30; Sa 8-4; Su 9-5 B M-F 9-5 by appt only X-RAY 505: VGH/Fairmont 505 - 750 W Broadway Vancouver Ph 604-879-4177 Fax 604-879-4147 UXM M-F 7:30-5; Sa 8-12 appt only WCMI: W Broadway/Arbutus 390 - 2184 W Broadway Vancouver Ph 604-731-2200 Fax 604-736-9314 X M-F 8:30-5 WCMI: St Paul’s/Burrard 270 - 1144 Burrard St. Vancouver Ph 604-689-8925 Fax 604-689-3364 X M-F 8:30-4:30 WCMI: Kerrisdale 6 - 5337 W Blvd Vancouver Ph 604-325-3244 Fax 604-325-0136 U M-Sa 8-4:30 X M-F 9-4:15, Sa 8-3 WCMI: E Broadway/Commercial 430 - 1669 E Broadway Vancouver Ph 604-873-1846 Fax 604-873-6318 XM M-F 8-4:30, X Sa 8-2 U M-F 8 am-9 pm; Sa 8-4:30 NSMI: North Vancouver 139 W 16th St North Vancouver Ph 604-987-9729 Fax 604-984-8395 UXM-MRI M-F 7:30-4:45 Open to 8:30 M+W; Sa 7:30-1 pm (website) 100 - 3001 Gordon Ave Coquitlam Ph 604-941-7611 Fax 604-942-4612 UXM-MRI M-F 8-4:30 Evenings and Sa closed

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