* F5 to reopen menu ** check sites below for further details Brooke Radiology Locations Greig Associates Locations West Coast Medical Imaging Locations WCMI reference Valley Medical Imaging Locations MedRay Imaging North Shore Medical Imaging

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

(website) #100 - 3001 Gordon Ave. Coquitlam Phone 604-941-7611 Fax 604-942-4612 UX-MRI M-F 8:00-4:30 Evenings and Sa closed WCMI: Austin Ave. #101 - 1015 Austin Ave. Coquitlam Phone 604-937-5588 Fax 604-936-8800 UX M-F 8:00-4:30 U only Sa 9:00-2:00 WCMI: Sapperton #401 - 233 Nelson’s Crescent New Westminster Phone 604-526-2466 Fax 604-521-5904 X only M-F 7:45-2:45 WCMI: Royal City Centre #200 - 610 Sixth St. New Westminster Phone 604-522-6818 Fax 604-522-6810 UX M-F 8:00-4:30 U only Sa 9:00-2:00 Brooke: North Burnaby #20 - 4218 East Hastings St. Burnaby Phone 604-522-6818 Fax 604-299-5773 UX M-F 8:30-5:00 Brooke: Metrotown #100 - 4980 Kingsway Burnaby Phone 604-434-1345 Fax 604-435-1309 UXMB M-F 8:00-5:00 WCMI: City Centre One #1 - 13737 - 96th Ave. Surrey Phone 604-581-4616 Fax 604-582-9022 X M-F 8:00-4:30 WCMI: Guildford #3 - 15300 - 105th Ave. Surrey (Guildford Health Centre) Phone 604-581-1101 Fax 604-582-8520 UX M-F 8:00-4:30 U only Sa 9:00-2:00 WCMI: Delta/Scott Rd #105 - 8318 - 120th St. Delta Phone 604-590-2211 Fax 604-581-0405 UX M-F 8:00-4:30; U only Sa 8:00-4:30 M M-F 9:00-4:00 VMI: Langley #200 - 5503 - 206th St. Langley Phone 604-534-4114 Fax 604-534-7877 UXM M-F 8:00-5:00 VMI: Chilliwack 45731 Patten Ave. Chilliwack Phone 604-795-7205 Fax 604-795-3543 X only M-F 8:30-4:30, closed Tu VMI: Abbotsford/Clearbrook #102 - 32475 Simon Ave. Abbotsford-Clearbrook Phone 604-855-0112 Fax 604-855-0109 UX M-F 8:00-5:00

Subject:

Generic Imaging Requisition, Coquitlam version, updated to V5_Jun14_2020 by Dr. John Yap, is licensed under a GPL. Please consider supporting OSCAR BC.