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Secondary Stroke Prevention Clinic Patient label REFERRAL FORM Fax completed referral form to: FAX: 5197494351 Telephone: 5197494300 ext. 2611 The following form MUST be completed by the Referring
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How to fill out secondary stroke prevention clinic

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To fill out a secondary stroke prevention clinic, start by gathering all necessary personal information such as name, date of birth, address, and contact details.
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Next, provide a detailed medical history, including any previous strokes or transient ischemic attacks (TIAs), as well as any other relevant medical conditions such as diabetes, high blood pressure, or cardiovascular diseases.
03
It is important to disclose any current medications you are taking, including dosage and frequency. Be sure to mention if you are taking any blood-thinning medications like aspirin or warfarin.
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When filling out the clinic forms, make sure to be thorough and accurate. Provide information about any previous interventions or procedures related to stroke prevention, such as carotid artery surgery or stenting.
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The clinic may also require information about lifestyle factors that can impact stroke risk. Be prepared to answer questions about tobacco use, alcohol consumption, diet, exercise, and stress levels.
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Additionally, mention if you have a family history of strokes or any other hereditary conditions that may increase your risk.
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The second part of the question focuses on who needs a secondary stroke prevention clinic. Generally, individuals who have experienced a previous stroke or TIA are eligible for secondary stroke prevention clinics. These clinics aim to provide comprehensive care and support to help reduce the risk of future strokes.
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Other individuals who may benefit from a secondary stroke prevention clinic include those with significant risk factors for stroke, such as high blood pressure, diabetes, atrial fibrillation, or carotid artery disease.
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It is important to consult with a healthcare professional to determine if you are eligible for a secondary stroke prevention clinic and to receive appropriate care and guidance.
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The secondary stroke prevention clinic is a specialized clinic that focuses on preventing future strokes in individuals who have already experienced a stroke or TIA (transient ischemic attack).
Healthcare providers and facilities that offer secondary stroke prevention services are required to file the clinic's information.
The clinic information can be filled out electronically or through paper forms provided by the relevant healthcare authorities.
The purpose of the secondary stroke prevention clinic is to provide specialized care and interventions to reduce the risk of future strokes in patients who have already had a stroke or TIA.
The clinic information typically includes details on the services offered, healthcare providers involved, patient demographics, and outcomes of the interventions.
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