Welcome to Physiologix! We look forward to providing your with the highest quality comprehensive care available. We have several requisition forms to meet your individual needs.
Diagnostic Imaging & Interventional Pain Management
Please use this tick-box user-friendly form to refer patients for Diagnostic Imaging services including X-ray, Ultrasound, and Pain Management. You can fax the requisition to 1-833-44FAXPX (1-833-443-2979) or have the patient call us at 1-833-4CALLPX (1-833-422-5579).