NEWS – Health capsule
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Making an appointment online
Please, complete all the sections.

Name and surname:
Date of birth: (dd/mm/yyyy)  
Telephone number:
Other telephone number: (optional)
E-mail:

IMPORTANT: On the day of your exam, bring your exam request signed by your doctor and your valid health insurance card.
EXAM WITH APPOINTMENT:CLINICAL INFORMATION

Mammography
Screening mammography Diagnostic mammography

Ultrasound
Abdominal ultrasound Breast ultrasound
Abdominal and pelvic ultrasound Thyroid ultrasound
Pelvic endo-vaginal ultrasound Testicle(s) ultrasound
Foetal ultrasound Prostatic trans-rectal ultrasound
Cardiac ultrasound Musculo-skeletal ultrasound*
Therapeutic Infiltration* Calcium wash-out by ultrasound*

* Fax us (514-365-8622) your doctor’s request and we will call you to fix an appointment.
Doppler
Arterial Doppler of lower and upper limbs Cervico-encephalic Doppler
Veinous Doppler of upper and lower limbs Renal arteries Doppler (including abdominal ultrasound)
Digestive arteries Doppler (including abdominal ultrasound    

Magnetic resonance
Brain MRI* Osteo-articular MRI*
Brain & Polygon of Willis MRI* Arthro MRI*
Spine 1 segment MRI* Neck ORL MRI*
Spine 2 segments MRI* Abdomen MRI*
Spine 3 segments MRI* Pelvic MRI*
Cervical spine and brachial plexus MRI*    

* Fax us (514-365-8622) your doctor’s request and we will call you to you to fix an appointment
Bone dentitometry
Bone densitometry    

Fluoroscopic study
Deglutition study and/or esophagus Transit of small intestine
Barium meal double contrast Barium enema double contrast
Diagnostic Arthrography* Distensive Arthrography

* Fax us (514-365-8622) your doctor’s request and we will call you to fix an appointment

EXAM(S) without appointment: For the following exams, come without appointment during the working hours of the clinic.
General radiology
Abdomen Lungs – Thorax
Cervical spine Limbs
Dorsal spine Pelvis
Lumbo-sacral spine Hips
Skulll Temporo-mandibular articulations
Sinus Inferior jaw
Facial bones Sacro-iliac articulations
Scanography of lower limbs Articular series
Metastatic series Cavum

OTHER EXAMS:
COMMENTS:

DATE OF AVAILABILITY :

CONFIRMATION:
Please note that we will confirm appointment request by Internet, telephone or e-mail within 48 hours.

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