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

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  • Create Date July 22, 2023
  • Last Updated July 22, 2023

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

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

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IHA327ECG327Holter327Event327Monitor.zipDownload