Referrals and Requisitions

For the convenience of referring physicians we have included our diagnostic requisition form below. To view and print the form, you will require the Adobe® Acrobat® Reader. To download, right click on the link below and choose "Save As"...

Ottawa Cardiovascular Centre Requisition Form

Fill out the form (page 1 for Ottawa or page 2 for Orleans) and fax it to:

  • Ottawa Cardiovascular Centre
    Fax (613) 738-9097; or
  • Ottawa Cardiovascular Centre Orleans
    Fax (613) 830-8211

Additional patient information for stress testing: