Effective January 30, 2026

Background Information:

Shared Health Diagnostic Services is releasing an updated standardized CT Requisition Form intended for requesting Computed Tomography (CT) examinations to be performed at all facilities providing CT service in Manitoba.

This change aims to simplify the CT requisition process for providers, reduce unnecessary bloodwork, improve wait times and reduce the number of double bookings and no-shows across Manitoba. The option to select a specific site for your patient remains. If you speak with a radiologist, please write their last name and site on the requisition (above the preferred site in the Outpatient section in the top left-hand corner). Emergent requests are still to be arranged by contacting the Radiologist directly.

Requesting CT Exams:

Effective January 30, 2026, all urgent and elective requests for CT services to be performed in Manitoba must be requested by submitting the standardized CT Request form R250-10-115 to:

• Exams to be performed in Winnipeg – Central Intake fax (204) 926 3650 or 1(866) 210 6119
• Exams to be performed outside Winnipeg – Nearest Diagnostic Imaging department providing CTservice.

Action Required:

• The Provincial EMR Support Services have the new CT requisition for their EMRs. The Form will also be available on the Shared Health website.
• Please use form SAP #299189 “Request for Diagnostic Imaging Exam” to request XR, US, NMexams to be performed in Winnipeg (sites affiliated with Central Intake). This form is also to beused for referring patients for DI exams from other areas in the province to facilities in Winnipeg.
• Please use form R250-10-116 DI Request for DI Examination (Rural) to request XR, US, NMexams outside Winnipeg (facilities NOT affiliated with Central Intake).
• Please discard printed and saved electronic copies of older Diagnostic Imaging requisitions.

The Relevant Clinical/Surgical History section MUST be completed and include relevant clinical history AND if applicable, surgical history. It should never be blank or unreadable. Radiologists rely heavily on clinical history to determine priority, scheduling and protocoling of each case.

All fields marked with an asterisk are required. If required information is incomplete or unreadable the request form will be returned to the referrer. This may negatively impact the examination timeline.

Access printable Clinical Practice Change communication.

References/Resources:

Shared Health – Diagnostic Imaging Resources
Shared Health – Diagnostic Imaging Central Intake
CT Request Form – Quick Reference Guide
DI Request for DI Examination (Rural)