Tel: 1.877.564.5227
Fax:1.877.564.3297

Email: info@kmhlabs.com
Request an Appointment

Requisitions

PDF Requisitions
Cardiology Consult
Print
Cardiology and General Nuclear Testing
Print
MRI Requisition
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Breast MRI requisition
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PET/CT Requisition
Print
PET/CT Cardiac FDG
Print
PET Cardiac FDG SAP
Print
PET PSMA for Prostate Cancer
Print
PET PSMA Access for Prostate Cancer Prep
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Research
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Heart Health Program
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Fillable PDF Requisitions
Cardiology Consult
Cardiology and General Nuclear Testing
MRI Requisition
Breast MRI Requisition
PET Cardiac FDG
PET Cardiac FDG SAP
Research
E-Referrals

OCEAN eReferral Network – To learn about linking to KMH through Ocean.

EMR

KMH provides customized requisitions for the following EMR systems. Please visit your forms library for the latest version or contact your
providers help desk for assistance.

Accuro EMR

Oscar EMR

Telus EMR – PS Suite and Med Access

Requisition Pads
To request requisition pads:
submit a form or
email: requisitions@kmhlabs.com or
fax your request to 1-877-564-3297

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