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Center Details

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Cardiologist Information

Name of Cardiologist
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Phone Number of Cardiologist
Email address of Cardiologist

Hematologist/Oncologist Information

Name of Hematologist/Oncologist
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Email address of Hematologist/Oncologist
Phone Number of Hematologist/Oncologist
9876543210

Administrative Contact Person

Contact Name
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Email of key Administrative
Phone of Key Administrative
Contact Name
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Email of key Administrative
Phone of Key Administrative
9876543210

Institution Information

Name of Institution
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city
West Des Moines
State/Province
Idaho
Country
United States
Zip/Post Code
50265
How would you describe your institution?
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Other Information

Is your C-O program a dedicated C-O clinic?
Yes
How long has your cardio-oncology program been in operation?
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On average how many C-O patients do you see each month?
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Do you have any training program in C-O at your institution?
Yes
Have you become a member of IC-OS?
Yes
Did you take the IC-OS Certifying exam or did anyone at your practice?
Yes
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

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