Masking update: As of October 16, 2024, masks are required in patient care areas, patient rooms and waiting rooms. 

Medical Imaging Referrals

Please see our referral criteria to make a referral to Medical Imaging.
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Clinics and services
Refer a patient

The Joint Department of Medical Imaging is now accepting referrals through Ocean eReferral.

To refer a patient by fax, please use the appropriate form below. Please be sure to include:

  • All required patient demographics (including current phone number and mailing address)
  • All required ordering physician information, including a signature
  • The type of imaging required
  • Clinical information and area to be scanned (Including any relevant clinical notes or reports)
  • The clinical urgency and/or specified date of procedure (SDP)

Physicians that need to speak to a radiologist regarding escalation, please contact the JDMI call centre at 416-946-2809.

Referral details

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Please complete this referral form (PDF) and fax it to the relevant modality. 

Please complete this referral form (PDF) and fax it to 416-586-3180. 

Please complete this referral form (PDF) and fax it to 416-586-8405. 

Please complete this referral form (PDF) and fax it to 416-586-4797. 

Patients with no history or symptoms of breast cancer who are between 50 and 75 years of age can self-refer for screening mammograms. Phone the Marvell Koffler Breast Centre at the number below to book an appointment.

Mammogram appointments: 416-586-4800 ext. 4422 

Referrals are accepted from health-care providers.

Patients can get screened through the OBSP High Risk Screening Program if they are aged 30 to 69, referred by a physician, have a valid Ontario Health Insurance Plan (OHIP) number, have any acute breast symptoms and fall into one of the following risk categories.  

Patients are in a higher risk category if they have:

  • A gene mutation that increases their risk for breast cancer (for example, BRCA1, BRCA2, TP53, PTEN, CDH1)
  • A first-degree relative of someone with a gene mutation that increases their risk for breast cancer and have either had genetic counselling or decided not to have genetic testing
  • Been assessed by a genetics clinic as having a 25 per cent or higher lifetime risk of breast cancer based on personal and family  
  • A history of chest radiation therapy for another cancer or condition (like Hodgkin Lymphoma) before age 30 at least eight years ago

To refer a patient, please complete this referral form (PDF) and fax it to 416-586-4714.