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CARDIAC DIAGNOSTICS REQUISITION - wdmh.on.ca - wdmh on 2026
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- Click ‘Get Form’ to open the CARDIAC DIAGNOSTICS REQUISITION in the editor.
- Begin by entering the patient's name, address, and contact information in the designated fields. Ensure accuracy for effective communication.
- Select the appropriate options for patient type (Out Patient or ER/In Patient) and indicate any isolation requirements if applicable.
- Fill in the date of birth and OHIP number. This information is crucial for identification and billing purposes.
- Choose the tests required by checking the relevant boxes such as ECG, Treadmill Exercise Test, Holter Monitor, etc., based on the patient's symptoms.
- Provide additional details regarding indications for tests in the space provided to ensure comprehensive assessment.
- Complete the referring physician's information and ensure all required signatures are obtained before submission.
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