|
Referral Form
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Fax #
|
| Angioplasty Referral |
519-663-3069
|
|
519-663-3069
|
|
| Cardiac Surgery Referral |
519-663-2948
|
|
Cardiology eOrders & eReports Project - Implementation Communication April 2012 |
|
| ICD & CRT Referral |
519-663-3782
|
| Non-Invasive Diagnostic Test Requisition |
519-663-3806 (UH)
519-685-8084 (VH) |
Instructions
- Select the required referral form from the table. This will open a PDF version of the form in your browser.
- Print the form and fill in the required information.
- Please fax the completed form and all other necessary documentation to the fax number indicated for each form.
