BC's standard requisition for bone mineral densitometry asks the requesting practitioner to classify fracture risk and state whether the exam is diagnostic or patient-pay. The form says BMD is indicated only if it is likely to alter treatment, and is MSP insured for moderate or higher fracture risk under the BC Osteoporosis Guideline, assessed with the FRAX calculator. The current edition is dated 2017/05/30.
The requesting practitioner, usually the patient's primary care provider, completes the whole form and signs it. Facility staff record the appointment date and time and, for telephone requisitions, the time and their initials.
Download the current version from the source each time; forms change without notice.
Standard Out-Patient Bone Densitometry Requisition
If your copy of the form is a fillable PDF, upload it once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.
Vero is not affiliated with, or endorsed by, the agencies and insurers listed here. Read our editorial policy.
According to the requisition, BMD is an MSP insured service for patients at moderate or higher risk of fracture under the BC Osteoporosis Guideline, and only when it is likely to alter treatment. Screening outside those criteria, such as routine screening of patients under 65, is non-insured, and the patient pays if they choose to proceed.
The form says repeat BMD for patients on osteoporosis medication is not considered medically necessary before three years after the original measurement. A scan sooner than three years must fit a listed exception, such as six-monthly scans for patients on more than 7.5 mg of prednisone daily for three months, or be specified as another high-risk situation.
It asks about previous bone densitometry and previous lumbar spine X-rays, each with location and date, with reports attached if available. It also has boxes for diagnosis, current medications and a patient history of risk factors and therapies, and notes that follow-up examinations should be done at the same location.