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Referral Forms

For the convenience of referring physicians we have included our diagnostic requisition forms below. To view and print the form, you will require the Adobe® Acrobat® Reader. To download and/or print, click the respective button below.  You can also submit an e-referral via the Ocean Healthmap platform. 

TWO CONVENIENT LOCATIONS

Ottawa Cardiovascular Centre
1355 Bank Street, Suite 502 Ottawa, ON K1H 8K7

Office Hours: Monday - Friday: 7:45am – 4:45pm 

(613) 738-1584

(613) 738-9097

Ottawa Cardiovascular Centre
(Orleans)

5929 Jeanne D’Arc Blvd South Suite 1924 Ottawa, ON K1C 6V8

Office Hours: Monday - Friday: 7:30am – 3:30pm 

(613) 749-5421

(613) 830-8211

© 2024 by Ottawa Cardiovascular Centre

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