Forms and Documentation

Calendar Forms Schools

If you have any questions or wish to start testing students at your school, email pat.shuff or call 713-444-7745 for more details.
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QRS Axis Deviation - details and interpretation criteria  347k v. 3 Feb 22, 2012, 10:39 AM Pat Shuff
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Brugada - details and interpretation criteria  384k v. 3 Feb 22, 2012, 10:39 AM Pat Shuff
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Conduction Delay - details and interpretation criteria  383k v. 3 Feb 22, 2012, 10:39 AM Pat Shuff
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QT Abnormalities - details and interpretation criteria  375k v. 3 Feb 22, 2012, 10:39 AM Pat Shuff
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Q-Wave Abnormalities - details and interpretation criteria  381k v. 3 Feb 22, 2012, 10:39 AM Pat Shuff
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Right Ventricular Hypertrophy - details and interpretation criteria  386k v. 3 Feb 22, 2012, 10:39 AM Pat Shuff
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St Depression Abnormality - details and interpretation criteria  391k v. 3 Feb 22, 2012, 10:39 AM Pat Shuff
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T-Wave Abnormality - details and interpretation criteria  355k v. 3 Feb 22, 2012, 10:39 AM Pat Shuff
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Wolfe Parkinsons White Syndrome - details and interpretation criteria  385k v. 3 Feb 22, 2012, 10:39 AM Pat Shuff
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Handout given to students when screening is finished from Navarro ISD  57k v. 2 Feb 22, 2012, 10:41 AM Pat Shuff
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consent form with charge and physician references  17k v. 2 Feb 22, 2012, 10:41 AM Pat Shuff
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Generic Consent Form   16k v. 5 Feb 22, 2012, 10:41 AM Pat Shuff
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Generic Consent Form in PDF format   40k v. 5 Feb 22, 2012, 10:41 AM Pat Shuff
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Consent form used at Whitney ISD  54k v. 2 Feb 22, 2012, 10:41 AM Pat Shuff
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Typical handout to describe what we are screening for  42k v. 2 Feb 22, 2012, 10:41 AM Pat Shuff
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An example of a follow up interpretation  181k v. 2 Feb 22, 2012, 10:40 AM Pat Shuff
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An example of a high risk interpretation  209k v. 2 Feb 22, 2012, 10:40 AM Pat Shuff
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An example of a low risk interpretation  196k v. 2 Feb 22, 2012, 10:40 AM Pat Shuff
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