Cardiology Procedure Consultation or Referral Form

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For urgent inquiries, please do not fill out this form. Instead, please call (970) 297-5000.

To request a non-surgical appointment, please complete the Appointment Request Form.

For surgical or interventional inquiries, please fill out the form below. Our team prioritizes your inquiries based on urgency. Contact outreach can take up to two weeks, depending on the case.

We evaluate complex cases every 1-2 weeks with our heart team. We unfortunately do not have procedural options for all cardiac diseases.

No additional phone call is necessary once you have filled out this form.