Book Diagnosis of cardiac arrhythmias
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Book Diagnosis of cardiac arrhythmias

Phone (from 8.30 am to 4.30 pm): +41 91 640 40 40

Email: segretariato.cardioticino@hin.ch

Request form

Download the form, fill it in and attach it below.

Download the form (PDF)
If you are a physician, you can enter your GLN number. Secretaries may leave it empty.
Online form

Fill in the request

Fill in the fields below: at the end you download the PDF form already filled in, identical to the original, ready to attach to the email for the secretariat.

Request
Patient data
Requested examination

For the VitalPatch, the “without” e “with telemetry function” boxes are not real checkboxes in the PDF: write which one you need in the indication below.

Indication
Therapy
Information
To attach

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