Cardiology Case Submission Form
Use this form to submit cases to the IDEXX Telemedicine. Our specialists are available Monday-Friday 7:30 a.m. to 11:00 p.m. ET, and Saturday 8:00 a.m. to 9:00 p.m.
If you have not registered for an account please do so. If you have any questions about the form or a case you've already submitted, call 1-800-726-1212, ext. 62270 or e-mail telemedinfo@idexx.com.
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Type of Service*
ECG Evaluation |
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Routine Routine ECGEvaluated by a specialist, the consultation report typically includes detailed rate and rhythm diagnosis, identification of potential problems, and diagnostic and therapeutic recommendations, including specific recommendations for treatment, future management and likely future progression, as well as recommendations for additional testing. Turnaround Time 24 hours or less Price $38.50 |
Preanesthetic Screen Preanesthetic ScreenEvaluated by a specialist, the consultation report typically includes risk assessment for anesthesia and a discussion of anesthesia management, as well as recommendations for further testing. Turnaround Time 20 minutes or less Price $19.50 |
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STAT STAT ECGEvaluated by a specialist, the consultation contains a report of the same information found in the Routine ECG and a telephone callback by one of our specialists within one hour of processing. Turnaround Time 60 minutes or less Price $57.50 |
Senior Screen Drug-Monitoring ScreenEvaluated by a specialist, the consultation report specifically addresses early signs of cardiac disease as it relates to age. Turnaround Time 20 minutes or less Price $19.50 |
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Heartworm Screen Heartworm ScreenEvaluated by a specialist, the consultation report specifically addresses early signs of cardiac disease as it relates to heartworm. Turnaround Time 20 minutes or less Price $19.50 |
Drug-Monitoring Screen Drug-Monitoring ScreenEvaluated by a specialist, the consultation report specifically addresses early signs of cardiac disease as it relates to drug monitoring. Turnaround Time 20 minutes or less Price $19.50 |
Comprehensive Telemedicine Evaluation |
If you have an Abdominal Ultrasound or an Echo (clips or stills) please select a Comprehensive Evalutaion option and specify whether the images should be evaluated by an Internist, Radiologist or Cardiologist. |
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Routine: |
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STAT: |
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Medical History
When a more complete history is warranted, please complete and Fax the detailed medical history form to 1-888-357-0321. |
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Chief Complaint: |
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Additional Notes: |
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If you have not already done so, please attach your image(s). The maximum, combined size of the files submitted must be less than 80 MB.
File 1:
If you have any problems with this form or questions about submitting images please call 1-800-726-1212 ext. 62270.
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