CONSULTATION REQUESTS

Medicare guidelines for consultation services require the intent of the request be clearly documented both in your records and ours, we ask that you please fax this form to our office after making an appointment. We appreciate your cooperation with this.

Consult Request Form - For cardiovascular services with IHC.

TESTING REQUESTS

Use the following forms to order testing at any IHC location.

Testing Order Form.
(Stress Test (MPI), 2D Echo, Vascular, Monitors, Calcium Scoring and CT)

Stress Echo

2D Echo with Doppler & Color Flow

Carotid Duplex

Renal Artery Duplex

TEE

IHC Offices & Providers factsheet.