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Division of Cardiology Referral Request Division Phone: 714.509.3939CHOC Children's Scheduling Line 888.770.2462Fax: 855.246.2329Thank you for referring your patient to the Division of Cardiology.
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How to fill out division of cardiology referral
How to fill out division of cardiology referral
01
Start by gathering all the necessary medical information and documents related to the patient's cardiac history.
02
Identify the referring physician and obtain their contact information.
03
Prepare a referral form or template specific to the cardiology division, including sections for patient details, medical history, reason for referral, and any relevant diagnostic test results.
04
Fill out the referral form accurately and completely, ensuring that all required fields are filled in.
05
Attach copies of relevant medical records, test results, and imaging reports to the referral form.
06
In the referral notes section, provide a clear and concise summary of the patient's current condition and the reason for the cardiology referral.
07
Double-check all the information provided for accuracy and completeness.
08
Submit the completed referral form along with the supporting documents to the appropriate department or cardiology referral coordinator.
09
Follow up with the referring physician to ensure the referral was received and to provide any additional information if needed.
10
Keep a copy of the referral form and all supporting documents for your own records.
Who needs division of cardiology referral?
01
Individuals who are experiencing symptoms such as chest pain, shortness of breath, palpitations, dizziness, or fainting episodes that may indicate a cardiac condition.
02
Patients with a history of heart disease or conditions such as coronary artery disease, heart failure, arrhythmias, or congenital heart defects.
03
People with risk factors for cardiovascular diseases, including high blood pressure, high cholesterol, obesity, diabetes, smoking, or a family history of heart problems.
04
Those who require specialized cardiac diagnostic tests or advanced treatment options.
05
Individuals who have been referred by their primary care physician for further evaluation or management of potential cardiac issues.
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