Cardiac Testing Patient Forms

Below you will find a lot of information that you may need to prepare for the test(s) that have been ordered for you. The information / Instruction forms are organized based on the type of study that was ordered. If you have trouble finding the correct information please call 913-322-7408.

Important Considerations:

  • If you have copies of any pertinent previous tests (x-rays, CD's or reports), please bring to your appointment. The radiologist will use them for comparison to determine if any change occurred.
  • Do not forget to bring your identification and insurance information with you.
  • If you have a question regarding your exam or how to prepare for the test and can not find the answers below, please do not hesitate to call us. A technologist will be available should you need help.
  • If for any reason you are unable to keep your appointment, please call 913-322-7408 to notify and reschedule.
  • Please DO NOT FORGET to stop the meds your doctor told you to stop for your test
  • DO NOT FORGET to bring the completed forms with you


Cardiac Echo Test Forms

 Exercise Tolerance Screening Form
 Patient Guide to Echocardiogram Testing


Cardiac Exercise Stress Test Forms

 Cardiac Stress Testing Instructions 
 Exercise Tolerance Screening Form 
 Cardiac Stress Testing After instructions
 Patient Guide to Cardiac Exercise Stress Testing


Cardiac Echo - Exercise Stress Test Forms

Cardiac Stress Testing Instructions
 Exercise Tolerance Screening Form
 Cardiac Stress Testing After instructions
 Patient Guide to Cardiac Echo Exercise Stress Testing

Cardiac Echo - Dobutamine Stress Test

 Cardiac Stress Testing Instructions
 Exercise Tolerance Screening Form
 Cardiac Stress Testing After instructions
 Patient Guide to Cardiac Echo Dobutamine Stress Testing


   11217 Lakeview Ave 
   Lenexa, KS 66219

   Phone: 1-913-322-7408
   Fax: 1-913-322-7410 
      This email address is being protected from spambots. You need JavaScript enabled to view it.

   Schedule Today



Our Mission: MISH Hospital and Clinics provides high-quality care and programs that set community standards and exceed patient expectations. Services are provided in a caring, convenient, cost-effective and accessible environment.

Our Vision: MISH Hospital and Clinics strives to be recognized as a leader in patient care. We are people working together to do the right thing every day to improve the health and well-being of every person we serve. 

Our Goal: The goal of MISH Hospital and Clinics is to provide excellent and innovative patient care in a supportive and approachable care environment.