Thanks for Choosing HeartPlace!

Partnering with us means:

  • Quick appointment times for your patients

  • Follow-up on patient results

  • Insurance prior authorization

  • Full-service inpatient care and continuity of care

  • Cost-effective for patients

We accept most insurance plans, including Medicare and Medicaid.  Click here for a complete list.

Cardiology Patient

Referring Order Form

Plano West Clinic Form

 

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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: 844.290.4363

Allen Clinic 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:

 

  • 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)

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