The Providers at Cardiovascular Consultants strive to ensure prompt management of all patients and timely responses to our referring physician and health care professional colleagues.

We provide several options for physicians and health care professionals seeking to refer a patient.

• Call all one of our offices directly and request a scheduler at 816-931-1883
• Fax a completed referral form to the individual office of your choosing
• Submit a secure online referral through St. Luke’s Care. To use St. Luke’s Care, register, then choose “New Referral Message” from the quick links navigation and complete the requested information.

When referring by phone or online, please have the following referral information available:

• Referring provider’s contact information
• Patient information (Name, DOB, Address, Phone)
• Type of evaluation requested (consult, procedure only). If this is for a specialty consult, please include specialty (Clinical Cardiology, Coronary or Peripheral Intervention, Electrophysiology, Women’s Heart Center, Heart Failure, etc)
• If requesting a procedure, include type of procedure and any known medical history or risk factors that may apply
• Medical records

Referral Form

Imaging Referral Form

How to complete the referral form

1. Office location – check or circle location desired.
2. Patient information – Please complete all patient information. This information is necessary to expedite your referral and avoid return calls to your office.
3. Type of evaluation – check either Physician Consult or Procedure Only. If this is an urgent request, please check the urgent box. Referrals originating from an Emergency Room should be noted in this section of the referral form.
4. Physician Preference - check the box indicating any available physician or select a particular physician by office location. Should your patient have an identified cardiology problem requiring a specific sub-specialty request, please use our sub-specialty directory to find an appropriate sub-specialist. This section does not need to be completed for procedure requests.
5. Procedure Request – Check the appropriate test, taking care to provide additional information, i.e. height and weight, when noted. Our staff will provide pre-procedure instructions to scheduled patients. This section does not need to be completed for physician consult requests.
6. Indication for testing – Please note this section is mandatory.