Thanks for Choosing HeartPlace!

Partnering with us means:

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• 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

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

Referring Order Form

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Plano West Clinic Form

You will need the Adobe Reader to view and print these documents.

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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)

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Fax to: 844.290.4363

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Allen Clinic Form

You will need the Adobe Reader to view and print these documents.

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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)

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Fax to: 844.290.4360 (Ammar/Choudhry)

Fax to: 844.289.7691 (Oyenuga)