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: PolandCosta RicaMexicoUSAAustraliaGermanyIraqChinaMALAYSIAItalySpainUnited StatesBrasilEspañaBelgiumVietnamNetherlandsUnited KingdomCharlestonQatarArgentinaUkrineChileAlgeriaIranUKArgentina Canada Zip/Post Code: How would you describe your institution?: Category: McMaster UniversityCentre of Postgraduate Medical EducationCCSSOncare Treatment CenterRoswell Park Comprehensive Cancer CenterGenesisCareUniversity Hospital EssenWest German Heart and Vascular CenterDepartment of Cardiology and Vascular MedicineUniversity Hospital Essen, West German Heart and Vascular Center, Department of Cardiology and Vascular MedicineBaghdad Medical CityBeijing Tsinghua Changgung HospitalUNIVERSITY MALAYALoma Linda University Medical CenterIstituto Tumori di BariRush University Medical CenterHospital Clinico Universitario Virgen de la ArrixacaUniversity of Pittsburgh Medical CenterFranciscan Health, IndianapolisCardioSafeScarborough Health NetworkFrancisco MonzonLehigh Valley HospitalInstituto Nacional de Ciencias Medica's y Nutricion "Salvador Zubirán"Univ. of Texas MD Anderson Cancer CenterCincinnati Children's Hospital Medical CenterMonmouth Cardioligy AssociatesZiekenhuis Oost Limburg Genk, BelgiumUniversity of Iowa Hospitals and ClinicsHouston Cardiovascular AssociatesNorth Shore UniversityHenryFord HospitalDuke University Health SystemCOR Healthcare AssociatesThalheimer Center for Cardio-Oncology at UpennUniversity of KentuckyBarretos cancer hospitalUniversity Medical Center UtrechtYale University School of MedicineUniversity of Newcastle; Calvary Mater Newcastle; Hunter New England Local Health DistrictWest Virginia UniversityTufts Medical CenterCardiovascular AssociatesNorth Central Heart Institute- A division of Avera Heart HospitalBeatson West of Scotland Cancer CentreMedical University of South CarolinaHeart Hospital/Hamad Medical CorporationIstituto Europeo di Oncologia, IRCCSRoffo InstituteFriendship HospitalUniversity of California at Los AngelesHospital Alemão Oswaldo CruzComplejo Asistencial Universitario de LeónIndiana University Health/Indiana University School of MedicineHospital Universitario A CoruñaVancouver General HospitalSaint Luke's Hospital of Kansas CityLee Health Cardio-OncologyLurie Children's HospitalHospital clinicoThe M.D.Strazhesko Institute of CardiologyColumbia University Irving Medical CenterMount Sinai HospitalDar El Galb (Heart House)Cleveland ClinicUniversity of AlbertaUConn HealthHall Garcia Cardiology at BCMCleveland Clinic FloridaFundación cardiooncoUniversity of Chicago MedicineVirginia Commonwealth UniversityNSW CardiologyLiverpool HospitalCardio-Onciology Outpatient Clinic , University Clinical CenterRoyal Brompton HospitalUniversity of California San DiegoRoffo Institute Miami Cancer InstituteNorthside hospitalBellvitge University Hospital Tag: FL VA IL CA CT London 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
