Click on the button below:
User name is consultingcard
Password is ccpc#719
This form is user friendly and requires limited data entry. Please note that the form will be sent to a secure e-mail account in accordance with HIPAA Protected Health Information regulation.
Please make sure to enter the clinical indication.
Once you click submit, your request will go to our secure mailbox. You will receive a message indicating
that the referral has been successfully submitted. The “Referring MD” email
address you entered will also receive an email indicating that the referral has
been received. You may now enter another referral or simply exit from the site.
Once the information is received, we will directly
contact your patient to schedule an appointment.
If you have any questions or you are experiencing any problems with the tool, please contact our office at (860) 947-4290 and ask for the New Patient Coordinator.
Thank you for using the Consulting
Cardiologists, PC Online Referral Tool.