Ultrasound Request Form

Review Request Form

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Radiograph review by the cardiologist is included as a courtesy. If you would like to take advantage of this free service going forward, all files to be reviewed by the cardiologist must be uploaded through the portal on the day of the echocardiogram. We are no longer accepting files (radiographs, blood pressure, EKG, etc) by email. On day submitting this form, use the 'upload link' provided in the appointment confirmation email OR at the bottom of the echocardiogram report you receive from us following the echocardiogram.