ADD YOUR CENTER HERE Cardiologist Information Title: * Name of Cardiologist: Email address of Cardiologist: Phone Number of Cardiologist: Hematologist/Oncologist Information Name of Hematologist/Oncologist: Email address of Hematologist/Oncologist: Phone Number of Hematologist/Oncologist: Other Information Contact Name: Email of key Administrative: Phone of Key Administrative : Contact Name: Email of key Administrative: Phone of Key Administrative : Institution Information Name of Institution: city: State/Province: Country: Country: ChinaAlgeriaMALAYSIAIranItalyUKSpainArgentina United StatesBrasilEspañaBelgiumVietnamPolandNetherlandsCosta RicaUnited KingdomMexicoCharlestonUSAQatarAustraliaArgentinaGermanyUkrineIraqChileCanada Zip/Post Code: How would you describe your institution?: Category: Roswell Park Comprehensive Cancer CenterScarborough Health NetworkBarretos cancer hospitalComplejo Asistencial Universitario de LeónCleveland Clinic FloridaGenesisCareFrancisco MonzonUniversity Medical Center UtrechtIndiana University Health/Indiana University School of MedicineFundación cardiooncoUniversity Hospital EssenLehigh Valley HospitalYale University School of MedicineHospital Universitario A CoruñaUniversity of Chicago MedicineWest German Heart and Vascular CenterInstituto Nacional de Ciencias Medica's y Nutricion "Salvador Zubirán"University of Newcastle; Calvary Mater Newcastle; Hunter New England Local Health DistrictVancouver General HospitalVirginia Commonwealth UniversityDepartment of Cardiology and Vascular MedicineUniv. of Texas MD Anderson Cancer CenterWest Virginia UniversitySaint Luke's Hospital of Kansas CityNSW CardiologyUniversity Hospital Essen, West German Heart and Vascular Center, Department of Cardiology and Vascular MedicineCincinnati Children's Hospital Medical CenterTufts Medical CenterLee Health Cardio-OncologyLiverpool HospitalBaghdad Medical CityMonmouth Cardioligy AssociatesCardiovascular AssociatesLurie Children's HospitalCardio-Onciology Outpatient Clinic , University Clinical CenterBeijing Tsinghua Changgung HospitalZiekenhuis Oost Limburg Genk, BelgiumNorth Central Heart Institute- A division of Avera Heart HospitalHospital clinicoRoyal Brompton HospitalUNIVERSITY MALAYAUniversity of Iowa Hospitals and ClinicsBeatson West of Scotland Cancer CentreThe M.D.Strazhesko Institute of CardiologyUniversity of California San DiegoLoma Linda University Medical CenterHouston Cardiovascular AssociatesMedical University of South CarolinaColumbia University Irving Medical CenterRoffo Institute Istituto Tumori di BariNorth Shore UniversityHeart Hospital/Hamad Medical CorporationMount Sinai HospitalMiami Cancer InstituteRush University Medical CenterHenryFord HospitalIstituto Europeo di Oncologia, IRCCSDar El Galb (Heart House)Northside hospitalMcMaster UniversityHospital Clinico Universitario Virgen de la ArrixacaDuke University Health SystemRoffo InstituteCleveland ClinicBellvitge University HospitalCentre of Postgraduate Medical EducationUniversity of Pittsburgh Medical CenterCOR Healthcare AssociatesFriendship HospitalUniversity of AlbertaHospital del Centro Comprensivo de Cáncer de la Universidad de Puerto RicoCCSSFranciscan Health, IndianapolisThalheimer Center for Cardio-Oncology at UpennUniversity of California at Los AngelesUConn HealthOncare Treatment CenterCardioSafeUniversity of KentuckyHospital Alemão Oswaldo CruzHall Garcia Cardiology at BCM Tag: CT London PR FL VA IL CA Other Information Is your C-O program a dedicated C-O clinic?: Yes No See More How long has your cardio-oncology program been in operation?: On average how many C-O patients do you see each month?: Do you have any training program in C-O at your institution?: Yes No See More Have you become a member of IC-OS?: Yes No See More Did you take the IC-OS Certifying exam or did anyone at your practice?: Yes No See More What hematology/oncology or other subspecialties are regularly engaged with the C-O team (list the top 5)?: Hematology Oncology Radiation Oncology Exercise physiology Bone marrow transplant Solid organ transplant Pharmacy Nursing leadership Hospital Administration Nephrology Electrophysiology Interventional Cardiology Cardiac Imaging Nuclear medicine Radiology Cardiomyopathy/Heart Failure Arrhythmia including QT prolongation Vascular toxicity (not including HTN) Thrombosis related toxicity Myocarditis Cancer Survivorship Pre-chemotherapy or stem cell evaluation Hypertension See More Your Email: * Save & Preview Quick Login Login Continue
