Referrals

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:

 

 

 

© Ottawa Cardiovascular Centre 2017

  • Ottawa Cardiovascular
    Centre Orleans

    5929 Jeanne D’Arc Blvd South
    Suite 1924
    Ottawa, ON K1C 6V8
    (613) 749-5421

  • Ottawa Cardiovascular
    Centre South

    1355 Bank Street
    Suite 502
    Ottawa, ON K1H 8K7
    (613) 738-0088