If you would like to refer a patient to the medical imaging department or special testing unit at Grand River Hospital, please complete a referral form and send it to us.

All referral forms can be found on our refer a patient page.

Please make sure the requisition includes the following information:

  • Patient's name;
  • Patient’s health card number;
  • Date of birth;
  • Ordering doctor's name and those who need a copy;
  • Specific test requested;
  • Pertinent information; and
  • Reason for the test.
Refer A Patient

Looking to refer a patient?

If you're a physician and would like to refer a patient to GRH, visit our referral page for referral forms and more information.

Refer a patient