Order a Diagnostic Test

Eligible tests Book directly on HotDoc Holter monitor, Event Monitor, Heart Bug, 24hr BP Monitor and Echocardiogram. One test per booking.

Grouped requests Use this order form Multiple investigations, uploads, or existing referrals.

Not sure which monitor to order? See our monitor selection guide →

Request one or more diagnostic tests for the same patient. You can also fax (03) 5292 9300 or email info@pulsecardiology.com.au. A GP or specialist referral is required to claim a Medicare rebate.

Please Choose Tests to Order

Select all investigations required; multiple tests can be included in the same request.

Tests Selected *

Select one or more tests above.

OOP = out of pocket cost after Medicare rebate

Clinical details / indication *

Patient Details

Patient first name *

Patient last name *

Patient date of birth *

Patient phone *

Patient email

Requesting Doctor

Requesting doctor first name *

Requesting doctor last name *

Requesting practice name *

Requesting doctor provider number *

Requesting doctor phone *

Requesting doctor fax

Requesting doctor email

Providing your email allows us to contact you directly about this order.

Attachments

Upload File (referral letter, ECG, or other document)

Accepted: PDF, JPG, PNG, Word. Max 4 MB.

Your request will be sent to info@pulsecardiology.com.au