Thanks for Choosing HeartPlace!
Partnering with us means:
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Quick appointment times for your patients
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Follow-up on patient results
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Insurance prior authorization
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Full-service inpatient care and continuity of care
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Cost-effective for patients
We accept most insurance plans, including Medicare and Medicaid. Click here for a complete list.

Referring Order Form
You will need the Adobe Reader to view and print these documents.
FAX this form as the COVER SHEET along with the following items:
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Completed patient demographics
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Recent office notes
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Any relevant test results (i.e. EKG, labs)
Fax to: 844.290.4363
You will need the Adobe Reader to view and print these documents.
FAX this form as the COVER SHEET along with the following items:
-
Completed patient demographics
-
Recent office notes
-
Any relevant test results (i.e. EKG, labs)
Fax to: 844.290.4360 (Ammar/Choudhry)
Fax to: 844.289.7691 (Oyenuga)