PATIENT INTAKE

APPOINTMENTS & REGISTRATION

Information on booking appointments, confirming visits, registration forms, and payment policies

Name
Email
Appointment Type (Select As Many As Applicable)
Note: Shortest wait times are Kanata & Limoges
Drag & Drop Files, Choose Files to Upload
Please use desktop to upload image. Mobile device may not work.
Drag & Drop Files, Choose Files to Upload
Please use desktop to upload image. Mobile device may not work.

Cancellations and Missed Appointments

If you are unable to attend your scheduled appointment, please notify us at least 24 hours in advance. Appointments are in high demand, and early notice allows us to offer the time to another patient.

Failure to attend your appointment, or failure to cancel with at least 24 hours notice, will be considered a missed appointment and may result in a $75 fee.

To cancel or reschedule:

  • Call 613-727-1072, option “1”
  • Visit our booking office
  • Leave a voicemail (accepted 24 hours a day)

If rescheduling, please include your phone number and preferred callback time.

MMI Missed Appointment

What to Have Ready When Booking

Patient name (as shown on health card)
Date of birth
Phone number and address
Health card number
Referring physician’s name
Type of exam and reason for exam

Registration Forms and Check-In

To help streamline your visit, new patients and returning patients with updated information are asked to complete the registration forms prior to their appointment.

Please Bring:

Payment Methods and Billing

For Quebec residents and patients without provincial health insurance coverage, payment in full is due at the time services are rendered.

Electronic Referrals (Ocean eReferral)

MMI accepts electronic referrals through the Ocean eReferral platform, available within most community physician EMRs.

Physicians may submit referrals by selecting Merivale Medical Imaging (MMI).

For more information about Ocean eReferral, contact:
contact@ereferralontarioeast.ca

Submitting Requisitions and Forms

Requisitions may be submitted to Merivale Medical Imaging using any of the following methods:

Requisitions

Physicians: These can be taken to any licensed facility providing healthcare services including hospitals and IHFs. Please click the button below to download an editable .pdf copy of our requisition and send it with your clients before their appointment.