Copy of the results of tests done elsewhere

Q: Copy of the results of tests done elsewhere

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Q: Copy of the results of tests done elsewhere

[gravityform id="50" title="false" description="false" ajax="true"]

Q: Copy of the results of tests done elsewhere

[gravityform id="50" title="false" description="false" ajax="true"]

Copy of the results of tests done elsewhere

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You need to contact the establishment where you conducted the tests or exams to obtain a copy of the results.
If you would like us to handle your request, we will be pleased to provide you with a copy of your results, however administrative fees will apply.

Please note that we do not make any calls to other centers to ask them to send out results. You must contact the center where you did the tests or exams to make sure they have sent them to us. We will send you your results once we have received them from the center where you performed the tests or exams.

Once your request below is completed, we will be happy to process your request.

Copies of test results is not a service covered by Medicare. Therefore, fees apply, based on the Federation of Physicians' fee scale.

Please remember to check your ''spam'' or ''junk'' folder if you do not receive a response from us within 72 business hours.
Identification*
First Last
Email*
Email Confirm Email
Phone*
Other phone number
Date of birth*
AAAA slash MM slash JJ
Health Insurance Number (RAMQ)*
(No space)
Name of the requesting physician*
Name of the institution where you took the test
Which result would you like to have a copy of?*
- Radiology/Imaging Test (Xrays, ultrasounds, MRI)
- Laboratory Test (blood tests, urinalysis)
- Electrocardiogram (ECG)
- Holter
- Pathology
- Electromyogram (EMG)
- Other
Please specify*
When did you get the tests done? (Approximate date)*
AAAA slash MM slash JJ
Fee for request of a copy of the test results done elsewhere
Prix:
Transmission mode*
- I will pick up the documents at the clinic once you notify me that it is ready (fee for the completion of the request only)
- Highly secure email (fee for the completion of the request + $20)
- Mail (fee for the completion of the request + $20)
GST
Prix: $ 0.00 CAD
QST
Prix: $ 0.00 CAD
Total
$ 0.00 CAD
Please choose a password to receive your file through a secure email*
(You will receive a copy of your test results via a highly secure email. You will need to enter the password you chose in order to access your file.)
Address*
Street Address Address Line 2 City AlbertaColombie-BritanniqueManitobaNouveau-BrunswickTerre-Neuve-et-LabradorTerritoires du Nord-OuestNouvelle-ÉcosseNunavutOntarioÎle du Prince-ÉdouardQuébecSaskatchewanYukon Province Postal Code
Confidential document transmission agreement*
- I hereby certify that I am the person identified in this request and I consent to receive my request for this service, as formulated.
Credit Card
Détails de la carte
Nom du titulaire de la carte
Secure payment via PayPal
After clicking the ''submit'' button, please do not exit this page before being redirected to the confirmation page.

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Copy of the results of tests done elsewhere

Copy of the results of tests done elsewhere

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