Name of Cardiologist
Juliana Salas Segura
Phone Number of Cardiologist
Email address of Cardiologist
Administrative Contact Person
Email of key Administrative
Name of Institution
How would you describe your institution?
Is your C-O program a dedicated C-O clinic?
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?
Have you become a member of IC-OS?
Did you take the IC-OS Certifying exam or did anyone at your practice?
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, Pharmacy, Electrophysiology, Interventional Cardiology, Cardiac Imaging, Nuclear medicine, Radiology, Cardiomyopathy/Heart Failure, Thrombosis related toxicity, Cancer Survivorship, Pre-chemotherapy or stem cell evaluation, Hypertension