Make a Referral

CCCIconReferral

Our team offers three pathways for referring your patient to a Providence Heart Institute specialist.

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1. Epic Referral: Providence and Community Connect clinics can send a referral through Epic. View a list of the referral orders.

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2. Direct Messaging: For practices set up for Direct Messaging through their electronic health record system, the Heart Clinic direct address is: PROV_HEART_CLINIC_OUTSIDE_REFERRALS1225802@OC.PROVIDENCEDIRECT.ORG

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3. Faxed Referral Form: If your practice is not set up for direct messaging, fax a referral form with relevant chart notes and test results.

Heart Clinics Referral Form

Cardiac & Vascular Surgery Referral From

Cardiac & Vascular Outpatient Diagnostic Testing Order Form