Diagnostic Imaging Central Intake
Diagnostic Imaging Central Intake’s mandate is to provide a single point of entry for CT, MRI, ultrasound & nuclear medicine non-emergent outpatient diagnostic imaging requisitions.
It serves as a central point of reference for referring clinicians and/or patients on where their requisition for a diagnostic imaging exam has been distributed.
Central Intake does NOT schedule any appointments. All appointments are scheduled at the Diagnostic Imaging site.
Provincial Diagnostic Imaging Wait Times
For more information on wait times, please see the Government of Manitoba’s Diagnostic Wait Time Information web page.
Referral Forms
MRI
- MRI Requisition
- Reference Guide (mandatory fields example)
- MRI Safety Checklist
- Pediatric Pre-Sedation History and Physical
- Choosing Wisely Lumbar Spine Form
- Choosing Wisely Lumbar Spine Patient Information
- Choosing Wisely Knee MRI Appropriateness Clinical Practice Change NEW
- Choosing Wisely Knee MRI Appropriateness Checklist NEW
- Choosing Wisely Knee MRI Patient Resource | French Version NEW
CT
Ultrasound
- Diagnostic Imaging Services Requisition Form (Non-MRI)
- Reference Guide Ultrasound Example Requisition
X-ray
Breast Imaging (mammography)
Nuclear Medicine
Note:
- Lack of pertinent data MAY DELAY the referral process along with scheduling of the patient’s appointment.
- Requisitions that are illegible will be returned.
- The site will triage the patient requisition and create an appointment.
The patient will receive a letter in the mail identifying their appointment time, date and any necessary preparation instructions.
On a daily basis, referring clinicians will receive a faxed list identifying which patients were scheduled for appointments, and their subsequent appointment date and time.
Frequently Asked Questions
Contact
Open Monday to Saturday from 8 a.m. to 4 p.m. Closed statutory holidays.
General Inquiries
Phone: 204-787-8907
Fax: 204-926-3650 or 1-866-210-6119 (toll-free)