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Refer a Patient for a PET Scan

The PET Scans Ontario Program provides referral forms and instructions for healthcare providers to refer an Ontario patient for a PET scan.

There are several ways to request a PET scan:

  • Fill out a requisition and send it to a PET scan centre.
  • Enrol the patient in a clinical trial.
  • Apply to the PET Access Program for a case-by-case review.

The following instructions apply to all PET scan referrals except clinical trials. To register a patient in a PET clinical trial, visit the Ontario Clinical Oncology Group.


Referral Instructions

For Ontario patients receiving a PET scan within Ontario

  1. Review the Indications to confirm the patient’s eligibility.
  2. Download and complete the relevant form (see forms in sidebar).
  3. Gather supporting documentation as specified in the form.
  4. Submit the completed form by fax to your PET centre or PET Scans Ontario, as instructed on the form.

For Ontario patients receiving a PET scan in another province

  1. Complete the Out-of-Province (OOP) PET Access Referral Form (see form in sidebar).
  2. Gather supporting documentation as specified in the form.
  3. Submit the completed form by fax to PET Scans Ontario, as instructed on the form.