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For Office Use Only: Appointment Date/Time:BRANT COMMUNITY HEALTHCARE SYSTEM ECHOCARDIOGRAM, ECG, HOLDER AND STRESS REQUISITION 200 Terrace Hill St., Brantford ON N3R 1G9 Tel: 5197515599 Fax: 5197515582
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Brantford General Hospital patient refers to any individual who is currently receiving medical treatment or care at Brantford General Hospital.
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