Step-by-step instructions to your expedited
Third Party Pay medical diagnostics.

If you need an MRI, CT or CTA scan as soon as possible, at a convenient time and location, follow these simple steps: 

  1. Phone Laura at Axxess Imaging at 416-886-0304 OR download and complete the hospital Referral Package below OR fill out the Diagnostic Services Form at the bottom of this page.

  2. For MRI & CT Scans, download St. Michael’s Hospital and Markham-Stouffville Hospital Referral or download Humber River Hospital Referral.

  3. For CTA Scans, please contact directly for a complete package to be emailed to you.

  4. Have an Ontario Medical Doctor complete "Doctor's Referral Form" (page 1 of Referral Package).

  5. Complete the "Third Party Payor Information Form" (page 2 of Referral Package).

  6. Complete the "Declaration of Non-OHIP/Third Party Eligibility Form" (page 3 of Referral Package).

  7. Complete the “Waiver Form” (page 4 of Referral Package).

  8. Scan and email all pages to OR FAX all pages to 1-888-391-3608.

  9. Axxess Imaging will begin processing immediately .

  10. Axxess Imaging’s Intake Coordinator will contact the patient directly to book either your MRI within 2 to 3 days, your CT within 5 days or your CTA within 5 days.

  11. Axxess Imaging’s Intake Coordinator will make payment arrangements with the third party payor.

  12. After the MRI/CT scan the patient will leave the hospital with a CD of their MRI/CT images.

  13. A radiologist diagnostic report will be faxed to the referring doctor and third-party private payor (if requested) within 24 to 48 hours from the time of your scan.

IMPORTANT NOTICE: If you are a NON-RESIDENT please contact Laura Miller at 416-886-0304 or

Waiting for the diagnostic imaging component of your healthcare is over!
Book your appointment TODAY!


Patient's Name *
Patient's Name
Phone *
Please check what kind of scan you require.


If you would like to book and appointment or have any questions, 
fill out this form, call, fax or email:

Laura Miller, Diagnostic Specialist

T: 416-886-0304