Interior Health Authority Outpatient Electrocardiogram (ECG), Holter and Event Monitor Requisition

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  • Create Date July 19, 2023
  • Last Updated May 20, 2024

Interior Health Authority Outpatient Electrocardiogram (ECG), Holter and Event Monitor Requisition

Update V3_Apr17_2024 has the latest locations, etc.

This is the standardized requisition for cardiac electro-monitoring.  The various sites offering services are on page 2 (Locations).

Attached Files and Latest Versions

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IH_Outpatient_ECG_Holter_Event_Recorder_Requisition_V3_Apr17_2024.zipDownload