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Outpatient Radiology Patient Information: ▲ ▼ Appt: Date: Referring Doctor: ▲ ▼ Copy To: Billable To: MSP ICBC WSCB Other: Exam: Clinical Information: ▲ ▼ Patient Instructions: ▲ ▼

(website) 100 - 3001 Gordon Ave Coquitlam Ph 604-941-7611 Fax 604-942-4612 UXM-MRI M-F 8-4:30 Evenings and Sa closed WCMI: Austin Ave 101 - 1015 Austin Ave Coquitlam Ph 604-937-5588 Fax 604-936-8800 UX M-F 8-4:30 X only Sa 8-4 WCMI: Sapperton 401 - 233 Nelson’s Cres New Westminster Ph 604-526-2466 Fax 604-521-5904 X only M-F 7:45-4:15 WCMI: Royal City Centre 200 - 610 Sixth St New Westminster Ph 604-522-6818 Fax 604-522-6810 UX M-Sa 8-4:30 Brooke: N Burnaby 4218 E Hastings St Burnaby Ph 604-299-2666 Fax 604-299-5773 UX M-F 8:30-5 Brooke: Metrotown 100 - 4980 Kingsway Burnaby Ph 604-434-1345 Fax 604-435-1309 UXMB M-F 8-5 WCMI: City Centre One 1 - 13737 - 96th Ave Surrey Ph 604-581-4616 Fax 604-582-9022 X M-F 8-5; Sa 8:30-12:30 WCMI: Guildford 3 - 15300 - 105th Ave Surrey (Guildford Health Centre) Ph 604-581-1101 Fax 604-582-8520 U M-F 8-4:30; to 8:30 pm T-W X M-F 8-4:30; Sa 8-4 WCMI: Delta/Scott Rd 105 - 8318 - 120th St Delta Ph 604-590-2211 Fax 604-581-0405 UX M-Sa 8 am-8 pm; U only to 4:30 F+Sa M M-F 9-4 VMI: Langley 200 - 5503 - 206th St Langley Ph 604-534-4114 Fax 604-534-7877 UXM M-F 8-5 VMI: Chilliwack 45731 Patten Ave Chilliwack Ph 604-795-7205 Fax 604-795-3543 X only M-F 8:30-4:30 VMI: Abbotsford/Clearbrook 102 - 32475 Simon Ave Abbotsford-Clearbrook Ph 604-855-0112 Fax 604-855-0109 UX M-F 8-5

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