I don't know how different the process might be for a resident of Canada. I live in Minnesota, and I simply self-referred and called the department I wanted when I had my first concerning x-ray. That was last November, and at that time they told me they were scheduling out two months. They encouraged me to set up an account/Mayo ID which I did. They also said I should send my actual images and not just reports when I had them, and that things can get moved up depending on situations. I sent my CT scan and PET scan one afternoon and the next morning I was called by my future doctor and given an immediate appointment. I had surgery three weeks later. I should add that I have original Medicare, and I have read recently that Mayo not scheduling more Advantage Medicare patients. Also, Mayo Clinic Rochester is busier in the summer months. Be sure to check out all the information on Rochester for where to stay and get around. It is pretty organized. And of course, it is great to use patient portal. Test results are posted immediately, and doctor's notes are really interesting. I can link my local provider MyChart to Mayo MyChart and info goes back and forth. I wonder if you might have similar options.