The short version
- You need a requisition from your physician or nurse practitioner before you can book.
- Bring your valid Ontario health card and the requisition to every appointment.
- Preparation depends on the exam. Abdominal scans usually mean fasting. Pelvic, obstetrical, and kidney or bladder scans usually mean a full bladder.
- Most exams take 20 to 45 minutes.
- Your results go to your referring physician, who will review them with you. Clinic staff cannot discuss findings.
An ultrasound is one of the most common diagnostic tests ordered in Ontario, and for good reason. It uses high frequency sound waves rather than radiation, it produces images in real time, and it can look at soft tissue that an X-ray simply cannot see.
If your doctor has just handed you a requisition and told you to book a scan, this guide walks through what actually happens next. We wrote it for patients across Oshawa, Whitby, Courtice, Bowmanville, Ajax, Pickering and Clarington who are visiting our clinic at 115 Simcoe Street South. The general steps apply anywhere in Ontario, but the specifics below are ours.
Before you book, you need a requisition
In Ontario, diagnostic ultrasound is an insured service, which means the Ontario Health Insurance Plan covers the exam when a licensed physician or nurse practitioner has determined it is medically necessary. That determination is documented on a requisition, sometimes called a referral form. Without one, we cannot perform an insured scan.
Your requisition is not just paperwork. It tells the sonographer which body part to examine, what your physician is concerned about, and what clinical question the images need to answer. A requisition that says "right shoulder pain, six weeks, suspected rotator cuff tear" produces a far more useful study than one that says "shoulder."
If your doctor faxed the requisition to us directly, you do not need to bring a paper copy, though it never hurts. If they handed it to you, keep it somewhere safe and bring it on the day. You can also download our requisition form and take it to your appointment with your physician.
No family doctor? You still need a referral from a licensed provider. A walk-in clinic physician or nurse practitioner can assess you and issue a requisition if imaging is appropriate.
Preparing for your specific exam
This is where most appointments go wrong. Arriving without the right preparation can mean images that are difficult to interpret, and in some cases it means rebooking. Bowel gas obscures the organs in the upper abdomen, which is why fasting matters. A full bladder acts as an acoustic window for pelvic imaging, which is why we ask you to drink water and hold it.
Preparation instructions are confirmed with you when you book, because they vary by exam and by clinical situation. The table below covers the most common patterns.
Scroll sideways to see the full table.
| Exam | Typical preparation | Why |
|---|---|---|
| AbdominalLiver, gallbladder, pancreas, spleen, kidneys | You may be asked to avoid eating for several hours beforehand. | An empty stomach and less bowel gas give a clearer view of the upper abdominal organs. |
| PelvicMale and female pelvis | A full bladder is often required. Drink water beforehand and do not empty your bladder. | A full bladder pushes bowel out of the way and improves visibility of pelvic structures. |
| ObstetricalDating, morphology, third trimester | Often a full bladder, particularly in early pregnancy. | Improves the acoustic window to the uterus in the first trimester. |
| Kidney and bladder | A full bladder is usually needed so pre-void and post-void measurements can be taken. | The scan measures how much urine remains after you empty your bladder. |
| Thyroid and neck | No preparation. Avoid high necklines and remove necklaces. | The probe needs direct access to the front of the neck. |
| MusculoskeletalShoulder, wrist, knee, ankle | No preparation. Wear loose clothing that exposes the area easily. | The sonographer may move the joint through its range of motion during the scan. |
| Breast, scrotal, soft tissue, hernia | No preparation. Point out exactly where the lump or pain is. | Focused scans depend on knowing the precise area of concern. |
Full instructions for every exam we offer are on our patient preparation page.
What to bring on the day
- Your valid Ontario health card. An expired card can delay or prevent an insured exam.
- Your requisition, if you were given a paper copy.
- Any consent form that applies. Transvaginal and transrectal exams require a signed consent, which you can download in advance.
- A list of medications, if your physician asked you to bring one.
- Comfortable, loose clothing. Two piece outfits are easier than dresses for most exams.
Please leave valuables at home. Arrive a few minutes early so registration does not eat into your appointment time, and let us know when you book if you need an interpreter, accessibility support, or a chaperone in the room.
Your visit, step by step
- Registration
You present your health card and requisition at reception. We confirm your details, the exam ordered, and the physician who will receive the report.
- Preparation check
We confirm you followed the preparation instructions. If something was missed, we will tell you honestly whether the scan can still go ahead or whether rebooking will give your doctor a better answer.
- Into the exam room
You will be shown to a private room and asked to expose only the area being scanned. A gown or drape is provided. The lights are usually dimmed so the sonographer can see the screen clearly.
- The scan itself
Warm gel is applied to the skin, and the sonographer moves a handheld probe over the area. The gel removes the air between the probe and your skin so the sound waves can travel. You may be asked to hold your breath briefly, roll onto your side, or move a joint. Tell the sonographer if anything is uncomfortable.
- Image review
The sonographer captures a defined set of images and measurements for the exam type. There may be a short pause while they check the study is complete before you get dressed.
- You are done
The gel wipes off easily. There is no recovery time and no restriction on driving, eating, or returning to work.

How long it takes
Most ultrasound exams run between 20 and 45 minutes, depending on the type of scan and how many areas are being examined. A focused soft tissue scan of a single lump is quick. A complete abdominal study, an obstetrical morphology scan, or a multi joint musculoskeletal exam takes longer. We will give you an estimate when you book so you can plan your day, and we build in enough time that you are not rushed.
Does an ultrasound hurt, and is it safe?
Ultrasound uses sound waves, not ionising radiation, which is one reason it is the first choice for imaging in pregnancy and for repeated follow up scans. There are no injections and no dye for a standard diagnostic ultrasound.
Most patients describe the experience as painless. The gel is warmed, and the probe presses on the skin with light to moderate pressure. There are two common exceptions. If the area being scanned is already tender, such as an inflamed gallbladder or an injured tendon, pressure over that spot can be briefly uncomfortable. And a full bladder for a pelvic scan is, by design, an uncomfortable twenty minutes. Both pass quickly, and you are always free to ask the sonographer to pause.
Why we cannot tell you the results
This is the question we are asked most, and the answer is the same at every imaging clinic in Ontario. Sonographers acquire the images. A qualified physician interprets them and issues the formal report.
Findings are not discussed by clinic staff, and that is not us being unhelpful. An image seen out of context, without your history, your bloodwork, and your physician's clinical judgement, can frighten you unnecessarily or falsely reassure you.
Your report goes to the physician named on your requisition. Book a follow up with them to review it. If your scan was ordered urgently, tell us at reception, because urgent studies are flagged accordingly.
What it costs
When you have a valid Ontario health card and a requisition confirming the exam is medically necessary, an insured diagnostic ultrasound is covered. There is no fee to you for the scan itself. If you do not have provincial coverage, or if you are requesting something that falls outside insured services, please call us before your appointment so we can explain your options clearly. We do not believe in surprises at the front desk.
Finding us
We are at 115 Simcoe Street South, 3rd Floor, Oshawa, ON L1H 4G7, in the heart of downtown. We are open Monday to Friday from 9:00 AM to 6:00 PM and Saturday from 10:00 AM to 4:00 PM, which makes us a practical option if you cannot take time off during the week. Parking is available nearby, and our team can point you to the most convenient option on the day. Get directions.
Common questions
Can I bring someone with me to my ultrasound?
Yes. A support person is welcome to accompany you, and you may request a chaperone in the exam room. Let us know when you book so we can plan the room accordingly.
What if I forgot to fast or emptied my bladder?
Tell reception right away. Depending on the exam, we may be able to rehydrate you and wait, proceed with a limited study, or rebook you. Being upfront protects the quality of the images your physician relies on.
Do you accept walk-ins?
Imaging appointments are typically scheduled in advance. Please call the clinic at +1 (289) 481-0263 to confirm availability before visiting.
Can I eat or drink after my scan?
Yes. There are no restrictions after a diagnostic ultrasound. You can eat, drive and return to normal activity immediately.
How soon will my doctor get the report?
Your images are interpreted by qualified professionals and a report is sent to your referring physician. Timing depends on the exam and urgency. Follow up with your physician's office to arrange a review appointment.
Do you offer obstetrical and musculoskeletal ultrasound?
Yes to both. We offer dating, nuchal translucency, 18 to 20 week morphology and third trimester scans, as well as musculoskeletal imaging for shoulders, elbows, wrists and hands, hips, knees, ankles and soft tissue.
This article is general information only and does not replace medical advice. Please speak with your physician or healthcare provider about your own health concerns. Imaging results are interpreted by qualified professionals and sent to your referring physician.