LACGH Patient Requisition Forms HomeProfessionalsLACGH Patient Requisition Forms Diagnostic Imaging CT Scan – Requisition #522External Consultation – Requisition #555Interventional Radiology (IVR) – Requisition #474Mammo/BMD – Requisition #66General U/S – Requisition #476U/S Obstetrics – Requisition #556X-Ray – Requisition #559 Cardiac Cardiac Diagnostic Services – Requisition #143Cardiac Rehabilitation – Requisition #CRC191Echocardiography – Requisition #546 Outpatient Services COPD Ambulatory Program – Requisition #312Diabetes Education Program – Requisition #DEP1Outpatient Physio Consult – Requisition #295 Pulmonary Function Test (PFT) – Requisition #302Respiratory Rehabilitation – Requisition #CRC191Transfusion/Infusion Program – Requisition #566 Surgical Services Colorectal Screening Colonoscopy Central Intake Requisition
