Clinic resources
Forms and contacts for partner clinics.
Printable documents and contact details for physicians and clinic staff working with Echovasc. Please do not send completed forms or any patient information through the website.
Cardiac diagnostic requisition
A one-page requisition for physician and clinic use when ordering an echocardiogram, contrast echocardiogram or Holter monitor through Echovasc.
Print at actual size on letter paper (8.5 by 11 inches). Return completed requisitions through your clinic's usual process, not through this website.
Holter monitor patient form
Given to patients when a Holter monitor is fitted. It explains the test, how to care for the monitor, the late return policy and the patient agreement, with a tear-off clinic copy for the patient's signature.
Print on letter paper in landscape. The form refers to a symptom diary on the back; if your clinic uses one, print it on the reverse side.
Echovasc contact card
A compact printable card with Echovasc's contact details for the clinic front desk.
Clinic contact
Reach Echovasc directly.
- Telephone437-696-7692
- Emailechovasc@gmail.com
- Service areaFamily practices across the Greater Toronto Area and Ontario
Patients
If you have been referred for a test, please contact your doctor or clinic for appointment details and to return a completed form. Echovasc cannot accept patient information through this website.