Get the free Cardio - vascular referral form - New York Medical Imaging Associates
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DRS. Maklansky, Urban, Cohen, Zimmer, Hyman, Person, Maklansky NEW YORK MEDICAL IMAGING Associates Tel: 212.535.9770 PATIENT NAME FIRST: PATIENT PHONE #: 165 East 84th Street, New York, NY 10028 LAST:
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How to fill out cardio - vascular referral
How to fill out cardio-vascular referral:
01
Start by gathering all necessary information about the patient, including their full name, date of birth, contact information, and any relevant medical history.
02
Indicate the reason for the referral, specifying the need for a cardio-vascular evaluation or consultation.
03
Include any relevant test results or diagnostic imaging findings that support the need for the referral, such as abnormal EKG results or a suspicious cardiac ultrasound.
04
Specify the preferred specialist or healthcare facility to which the referral should be sent. Provide their contact information and address if available.
05
Ensure to include the referring physician's full name, contact information, and any specific instructions or concerns regarding the patient's condition.
06
Sign and date the referral form to authenticate the information and indicate the urgency, if applicable.
Who needs cardio-vascular referral?
01
Individuals with symptoms or signs of cardiovascular disease, such as chest pain, shortness of breath, palpitations, or fainting spells, should consider getting a cardio-vascular referral.
02
Patients with a history of heart conditions, such as previous heart attacks, arrhythmias, or heart valve problems, may require specialized cardio-vascular care and thus benefit from a referral.
03
Individuals with risk factors for cardiovascular disease, including high blood pressure, diabetes, high cholesterol, obesity, smoking, or a family history of heart disease, might need a cardio-vascular referral to evaluate their heart health and establish preventive measures.
04
Those undergoing other medical procedures or treatments that could potentially impact their cardiovascular system, such as cancer chemotherapy or certain surgeries, may also necessitate a cardio-vascular referral to ensure the safety and optimization of their overall healthcare.
Remember, it is always important to consult with a healthcare professional to determine if a cardio-vascular referral is appropriate for your specific situation.
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