Cariovascular Logo
Cardiovascular Logo  
More About CVG Education Diseases & Tests Meet Our Doctors Referring Physicians Online Forms  
 
Resources
 
Are you having difficulty viewing our online forms? Viewing these forms requires one of three programs.
   
Adobe Acrobat Reader*
Microsoft Word
Adobe FlashPaper**
You can identify which file formats are available for each online form by their corresponding icons. Use this reference guide to identify which file formats are available.
 
Adobe Acrobat Reader
Microsoft Word
Adobe FlashPaper
   

Click any of the above icons or product names to find more information on purchasing or downloading the associated product. Adobe Acrobat Reader is a free program. There is no download or installation required to view the Adobe FlashPaper version.


Referring Physicians

The Cardiovascular Group is here to assist you with any questions or concerns that may arise for further testing or treatment of your patient.  Please feel free to contact us at anytime.

For contact information or directions to our offices, click here.

Click on the titles and expand for more information & viewing options.
 
ADENOSINE/DOBUTAMINE NUCLEAR STRESS TEST
DOB Nuclear Instruction Form
 
Form Description

A nuclear stress test is an imaging test using small, safe amounts of a radioactive substance to evaluate the hearts function and blood flow. 

Exercise is performed by walking on a treadmill.  Your heart is monitored for evidence of blockages or arrhythmias by ECG and blood pressure readings.  The speed and incline of the treadmill increase every three minutes.

If you are unable to exercise, dobutamine or adenosine can be injected into your bloodstream to make your heart work as hard as if you were exercising. 

The test helps the doctors diagnose coronary heart disease, which is caused by narrowed or blocked coronary arteries (the vessels that supply blood to the heart muscle).

The report will be sent to your primary physician. He or she will advise you of the results.

Please read this online document to prepare you for a nuclear stress test.
 
View Adobe PDF View Word Document View FlashPaper
     
     
     
     
DOB STRESS ECHO INSTRUCTIONS
DOB Stress Echo Instructions
 
Form Description

A dobutamine/stress echo is a test that helps detect heart irregularities, disease and damage.

An EKG is performed as the patient exercises in a controlled manner on a treadmill at varied speeds and elevations.  Ultrasound images are taken of your heart before and immediately after walking on the treadmill.  The average time walking on the treadmill is between 6 to 9 minutes. 

If you are unable to exercise, a chemical, dobutamine can be injected into your bloodstream to make your heart work as hard as if you were exercising.

A cardiologist will discuss your test result after the procedure is performed.  The Cardiovascular Group will correlate the test results to your primary care physician.

This online dobutamine/stress echo form gives you helpful information to prepare for the test.

 
View Adobe PDF View Word Document View FlashPaper
     
STRESS TESTING INSTRUCTIONS
Stress Testing Instructions
 
Form Description

A stress test and a stress echo are tests that help confirm or rule out coronary artery disease.

An EKG is performed as the patient exercises in a controlled manner on a treadmill at varied speeds and elevations Exercise is performed by walking on a treadmill.  Your heart is monitored for evidence of blockages or arrhythmias by ECG and blood pressure readings.  The speed and incline of the treadmill increase every three minutes.  The average time walking on the treadmill is between 6 to 9 minutes. 

A stress echo also involves ultrasound images taken of your heart before and immediately after exercise.

A cardiologist will discuss your test results after the procedure is performed.  The Cardiovascular Group will fax the test results to your primary care physician.

This online stress echo form gives you helpful information to prepare for the test.

 
View Adobe PDF View Word Document View FlashPaper
     
CARDIAC TEST INSTRUCTIONS
DOB Stress Echo Instructions
 
Form Description

Short Description about what this form is used for. Short Description about what this form is used for. Short Description about what this form is used for. Short Description about what this form is used for. Short Description about what this form is used for.

 
View Adobe PDF View Word Document View FlashPaper