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WE WELCOME REFERRALS
Heart Center of the Rockies proudly accepts referrals from regional physicians. We ensure that patients in need of cardiac care are in excellent hands at Heart Center of the Rockies. All test results will be forwarded to the referring physician for review and patient discussion.
To order cardiac tests, please print the Outpatient Procedures Order Form; call the office nearest your location to schedule an appointment for your patient; and fax a completed copy of the Outpatient Procedures Order Form to the appropriate office.
Heart Center of the Rockies printed materials are now available to preview, download, print, and order at no cost!
Please feel free to preview, download, or print any of the following materials. If you would like to order any of the listed materials please complete an order form in one of two ways:
1.) Download the editable Microsoft Word version of the form and fill in the appropriate fields by clicking on a section and typing in the appropriate information. Send the completed file via e-mail attachment to Chris Livingston (clivingston@heartclinic.com) or Kristin Mouton (kmouton@heartclinic.com). Please use the words "external print order" in the subject line.
2.) Print the PDF version of the form and fill in appropriate fields. Send the completed form via FAX to 970-297-6844 ATTN: Chris Livingston or Kristin Mouton. Please use the words "external print order" on the cover page.
Printed Materials Order Form:
- Microsoft Word version (right click - "save target as")
- PDF version
Click on an item below to preview, download, or print.
OUTPATIENT PROCEDURES ORDER FORM
EDUCATIONAL CARDS
EDUCATIONAL SHEETS
NUTRITION EDUCATION
TABLOIDS AND BOOKLETS
MISCELLANEOUS MATERIALS
Heart Center of the Rockies proudly accepts referrals from regional physicians. We ensure that patients in need of cardiac care are in excellent hands at Heart Center of the Rockies. All test results will be forwarded to the referring physician for review and patient discussion.
To order cardiac tests, please print the Outpatient Procedures Order Form; call the office nearest your location to schedule an appointment for your patient; and fax a completed copy of the Outpatient Procedures Order Form to the appropriate office.
Heart Center of the Rockies printed materials are now available to preview, download, print, and order at no cost!
Please feel free to preview, download, or print any of the following materials. If you would like to order any of the listed materials please complete an order form in one of two ways:
1.) Download the editable Microsoft Word version of the form and fill in the appropriate fields by clicking on a section and typing in the appropriate information. Send the completed file via e-mail attachment to Chris Livingston (clivingston@heartclinic.com) or Kristin Mouton (kmouton@heartclinic.com). Please use the words "external print order" in the subject line.
2.) Print the PDF version of the form and fill in appropriate fields. Send the completed form via FAX to 970-297-6844 ATTN: Chris Livingston or Kristin Mouton. Please use the words "external print order" on the cover page.
Printed Materials Order Form:
- Microsoft Word version (right click - "save target as")
- PDF version
Click on an item below to preview, download, or print.
OUTPATIENT PROCEDURES ORDER FORM
| Document Title |
| Outpatient Procedures Order Form E-1612 |
EDUCATIONAL CARDS
| Document Title |
| Indications for EP Referral Card E-1677 |
| Know Your Numbers Card E-1654 |
EDUCATIONAL SHEETS
NUTRITION EDUCATION
TABLOIDS AND BOOKLETS
MISCELLANEOUS MATERIALS
| Document Title |
| Cardiac Care Closer to Home Outreach Map E-1653 printed on tabloid size |
| Maps and Driving Directions E-1683 single page spread |