Get the free NHS Cardiac Rehab Referral Form - Niagara Health System

Cardiovascular Health and Rehabilitation Program TELEPHONE: 9056412542 FAX: 9056823622 Name: Last Name First Name Mr.×Mrs. /Miss×Ms Address: Telephone Number: () Hospital ID Number: HAN VC Family

How to fill out nhs cardiac rehab referral

How to fill out NHS cardiac rehab referral:

1. Obtain the referral form: Contact your healthcare provider, such as your doctor or cardiologist, to request the NHS cardiac rehab referral form.
2. Complete personal details: Fill in your full name, date of birth, address, and contact details accurately.
3. Provide medical history: Provide relevant medical information, including your diagnosis, any cardiac procedures you have undergone, and any medications you are currently taking.
4. Indicate necessary support: Specify if you require any additional support or accommodations during your cardiac rehab, such as an interpreter or mobility aids.
5. Include GP details: Provide the details of your general practitioner (GP) or the medical professional who will oversee your overall healthcare.
6. Sign and date: Read through the referral form carefully, ensuring all sections are completed accurately. Sign and date the form where required.
7. Submit the referral: Return the completed referral form to your healthcare provider or the designated cardiac rehab department as specified on the form.

Who needs an NHS cardiac rehab referral:

1. Individuals with a recent cardiac event: Those who have experienced a heart attack, undergone a heart procedure (e.g., angioplasty or coronary bypass surgery), or have been diagnosed with certain heart conditions may require cardiac rehab.
2. Patients with cardiovascular disease risk factors: Individuals with risk factors such as high blood pressure, high cholesterol, obesity, diabetes, or a family history of heart disease may be eligible for cardiac rehab.
3. People advised by healthcare providers: Your doctor, cardiologist, or other healthcare professionals may recommend cardiac rehab if they believe it will be beneficial in improving your heart health, managing your condition, and reducing future risks.

Note: It is important to consult with your healthcare provider to determine if you require an NHS cardiac rehab referral and to discuss whether cardiac rehab is suitable for your specific situation.

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What is nhs cardiac rehab referral?

NHS cardiac rehab referral is a process where patients are referred to a cardiac rehabilitation program for support after suffering from a heart-related condition or procedure.

Who is required to file nhs cardiac rehab referral?

Healthcare professionals such as doctors, nurses, or specialists are required to file NHS cardiac rehab referral for eligible patients.

How to fill out nhs cardiac rehab referral?

NHS cardiac rehab referral can be filled out by providing patient information, medical history, reason for referral, and any relevant test results.

What is the purpose of nhs cardiac rehab referral?

The purpose of NHS cardiac rehab referral is to ensure that patients receive necessary support and guidance to aid in their recovery and improve their heart health.

What information must be reported on nhs cardiac rehab referral?

Information such as patient demographics, medical history, current medications, diagnosis, and referral reason must be reported on NHS cardiac rehab referral.