rc.graycyan

416.766.1162

Visit Us:


    5 Junction Road, Toronto, ON M6N 1B5
    T 416.766.1162 F 416.766.0463

    www.riversideclinic.ca

    CONSULTATION

    CARDIOLOGY

    DR. CHOI

    DR. DRZYMALA

    DR. FISHER

    DR. LOGSETTY

    DR. MAZE

    DR. MITOFF

    DR. ANSELM

    DR. THOMAS

    FIRST AVAILABLE

    PLEASE INCLUDE ALL RECENT/RELEVANT TESTS AND INVESTIGATIONS











    REASON FOR REFERRAL

    CARDIOLOGY TESTING


    TRANSTHORACICCONTRASTBUBBLE STUDY


    STRESS ECHO


    EXERCISEPERSANTINE

    GRADED EXERCISE STRESS TEST (GXT)

    MUGA SCAN


    24 HOURS48 HOURS72 HOURS7 DAYS14 DAYS

    12 LEAD ECG

    AMBULATORY BLOOD PRESSURE MONITOR(not covered by OHIP - patient to pay $60)

    NON CARDIAC TESTING


    BASELINEHIGH RISK



    TOTAL BODYSITE SPECIFIC

    OTHER NUCLEAR

    CONSULTATION

    CARDIOLOGY

    DR. CHOI

    DR. DRZYMALA

    DR. FISHER

    DR. LOGSETTY

    DR. MAZE

    DR. MITOFF

    DR. ANSELM

    DR. THOMAS

    FIRST AVAILABLE

    PLEASE INCLUDE ALL RECENT/RELEVANT TESTS AND INVESTIGATIONS








    $200 WILL BE CHARGED FOR LAST MINUTE CANCELLATIONS & MISSED APPOINTMENTS

    PLEASE INFORM STAFF IF YOU ARE PREGNANT, BREAST FEEDING, OR WILL BE TRAVELLING IN THE NEXT 72 HOURS

    THIS REQUISITION CAN BE TAKEN TO ANY LICENSED FACILITY PROVIDING HEALTHCARE SERVICES INCLUDING HOSPITALS OR INDEPENDENT HEALTH FACILITIES













      12 LEAD ECG


      AMBULATORY BLOOD PRESSURE MONITOR


      GRADED EXERCISE STRESS TEST GXT


      MUGA SCAN


      STRESS ECHO









      OTHER NUCLEAR






      3012


      201


      501234


      On012


      On012


      DR. CHOI


      DR. DRZYMALA


      DR. FISHER


      DR. LOGSETTY


      DR. MAZE


      DR. MITOFF


      DR. ANSELM


      DR. THOMAS


      FIRST AVAILABLE