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New ApptRe-ScheduleCancel Appt

Please choose all that apply: *X-ray Service at this time is first come, first served.
MRIUltrasoundPain ManagementMammogramBone Densitometry

Your Date of Birth:(required)
*Your Preferred Date: *if available, we'll do our best.
In the: MorningAfternoonNo Preference
Contact Number: (required)*Best number to contact you Mon-Fri 8AM to 5PM

Attach Requisition:
A requisition is required for ALL appointments except Self-Referred Mammograms. Your practitioner may have sent us one already but if you're not sure please scan and attach it here, or fax it to us at 403-527-9148 after you submit your request.

Other details for your request:(e.g. days or times that are best for you, special requirements or considerations)

Your Date of Birth:(required)
Current Appointment Date & Time:
*Your Preferred New Date: *if available, we'll do our best.
In the:MorningAfternoonNo Preference

Contact Number:(required)*Best number to contact you Mon-Fri 8AM to 5PM

Other details for your request:(e.g. days or times that are best for you, special requirements or considerations)

Your Date of Birth:(required)
Appointment Date & Time:
Your Contact Number:(required)
If we have an issue cancelling the appointment we'll need to contact you,otherwise we'll just email confirmation of cancellation.

Any other information you feel is pertinent:

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If you'd like a call back, Contact Number:*Best number to contact you Mon-Fri 8AM to 5PM
Add an Attachment:

MH PHONE DIRECTORY

403-527-7334

Ext 0 FRONT DESK

Ext 1 BOOK AN APPOINTMENT

Ext 142 PAIN MANAGEMENT BOOKING

Ext 2 REPORTS AND CD REQUEST

Ext 3 MRI & REBOOK APPOINTMENTS

Ext 4 ACCOUNTING

Ext 5 MANAGER – WENDY MARTIN-GUTJAHR

Ext 6 CEO – THOMAS STRAIN

Ext 7 PREPARATION INSTRUCTIONS

MEDICINE HAT OFFICE

PHONE: 403-527-7334
FAX: 403-527-9148

BROOKS OFFICE

PHONE: 403-794-4330
FAX: 403-794-4339

Medicine Hat

1854 Southview Dr SE
Medicine Hat, AB
T1A 8L9
Open Monday to Friday as follows:
7:00 AM to 5:00 PM for X-ray Services on a first come, first served basis
7:00 AM to 5:00 PM for Ultrasound, Pain Management, MRI, Bone Density and Mammography by appointment only

We also observe all Statutory Holidays so our staff can spend time with their families. See our Office Hours page for details

Phone: 403-527-7334
Fax: 403-527-9148

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Brooks

220 4th St West
Brooks, AB
T1R 0G1

Open Monday to Thursday as follows:
7:00 AM to 5:00 PM for Ultrasound services by appointment only

We also observe all Statutory Holidays so our staff can spend time with their families. See our Office Hours page for details.

Phone: 403-794-4330
Fax: 403-794-4339

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