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Site Outpatient Dysphagia Clinic Referral Form Peter Lougheed Centre 3500 - 26th Avenue NE Calgary AB T1Y 6J4 Phone 403-943-4941 Fax 403-943-4520 Patient Contact Information Phone Fax Does this patient have a legal guardian Yes No If Yes Language Medical History relevant to swallowing problem Pulmonary / Respiratory status Neurological diagnosis Cancer Treated with radiation Other Medications History/Duration of Swallowing Problem/Reason for Ref...
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How to fill out dysphagia clinic Calgary:
01
Visit the official website of the dysphagia clinic Calgary.
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Look for the "Appointment" or "Contact" section on the website.
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Specify your reason for seeking dysphagia clinic Calgary services.
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Who needs dysphagia clinic Calgary:
01
Individuals experiencing difficulty in swallowing or choking while eating or drinking.
02
People with a history of recurrent pneumonia or lung infections due to aspiration.
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Individuals with neurological conditions, such as stroke, Parkinson's disease, or multiple sclerosis, which may affect their ability to swallow.
04
Patients with structural abnormalities in the throat, esophagus, or digestive system.
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Individuals who have undergone surgery or radiation therapy for head, neck, or esophageal cancer and are experiencing swallowing difficulties.
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People with untreated or uncontrolled gastroesophageal reflux disease (GERD) that causes swallowing issues.
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Individuals who have recently suffered a traumatic injury or have a condition that has impacted their ability to swallow.
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Patients diagnosed with certain autoimmune disorders or genetic conditions that may lead to dysphagia.
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Individuals seeking professional evaluation and treatment for their swallowing difficulties, including infants, children, and adults of all ages.
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What is dysphagia clinic calgary?
The Dysphagia Clinic in Calgary is a specialized medical facility that focuses on the diagnosis and treatment of patients with swallowing disorders, known as dysphagia.
Who is required to file dysphagia clinic calgary?
Patients experiencing symptoms of dysphagia, such as difficulty swallowing, are typically required to seek evaluation and potentially file for services at the Dysphagia Clinic in Calgary.
How to fill out dysphagia clinic calgary?
To fill out necessary forms for the Dysphagia Clinic in Calgary, patients should provide personal identification, medical history related to swallowing difficulties, and any prior treatments or diagnoses.
What is the purpose of dysphagia clinic calgary?
The purpose of the Dysphagia Clinic in Calgary is to assess, diagnose, and manage swallowing disorders, helping patients improve their ability to eat and drink safely.
What information must be reported on dysphagia clinic calgary?
Patients must report information such as symptoms experienced, duration of symptoms, any impacting medical history, current medications, and specific concerns regarding swallowing.
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