Request Appointment Personal Information First Name Surname PHN Date of birth MaleFemaleOtherUndeclared Gender Email Home phone Cell phone Procedure(s) Add Procedure Preferred Location Lonsdale (16th) - 139 West 16th Street, North VancouverSquamish - 38117 Second Ave, SquamishWest Van - 110-575 16th Street, West Vancouver Location Ordering Physician Ordering Physician Documents Browse Drag and drop files here Choose up to 5 Clinical Indication What is the reason for this exam? Submit a Request Submitting Request