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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: No. 3 Rd 150 - 5791 No 3 Rd Richmond Ph 604-278-9151 Fax 604-278-6315 UXB M-F 8-5 Breast (US only) Brooke: Gilbert Rd 105 - 6051 Gilbert Rd Richmond Ph 604-273-7378 Fax 604-273-5861 X only M-F 7:30-3:30 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 WCMI: Delta/Scott Rd 105 - 8318 - 120th St Delta Ph 604-590-2211 Fax 604-581-0405 UX M-Sa 8 am-8 pm; U only to 4:30 F+Sa M M-F 9-4 WCMI: City Centre One 1 - 13737 - 96th Ave Surrey Ph 604-581-4616 Fax 604-582-9022 X M-F 8-5; Sa 8:30-12:30 WCMI: Guildford 3 - 15300 - 105th Ave Surrey (Guildford Health Centre) Ph 604-581-1101 Fax 604-582-8520 U M-F 8-4:30; to 8:30 pm T-W X M-F 8-4:30; Sa 8-4 Brooke: Metrotown 100 - 4980 Kingsway Burnaby Ph 604-434-1345 Fax 604-435-1309 UXMB M-F 8-5 (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 WCMI: Royal City Centre 200 - 610 Sixth St New Westminster Ph 604-522-6818 Fax 604-522-6810 UX M-Sa 8-4:30 WCMI: Sapperton 401 - 233 Nelson’s Cres New Westminster Ph 604-526-2466 Fax 604-521-5904 X only M-F 7:45-4:15

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