I went to my doctor that I seen in the past for a new patient visit last week showed him my mother's health history. He ordered the echo based on heart murmur and leaky valve he possibly heard. I did my annual visit may 28 with old clinic and nurse practitioner never mentioned hearing the 2 years i seen them. They also see my mom for her health issue and knew the cardiologist recommended her children get checked. It seems ridiculous insurance wants you to have a symptom before you can be checked.