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Nova Scotia Chronic Pain ServicesReferral Form
1Date Referred:Month:Day:Year:CLINIC BEING REFERRED TO
2Primary:
Secondary:
Tertiary:Antagonist
Amherst
HalifaxIWKBerwick
Dartmouth
HalifaxQEIINew Glasgow
SydneyTruroWindsorYarmouthPATIENT
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How to fill out pulmonary arterial hypertension pah

How to fill out pulmonary arterial hypertension pah
01
To fill out pulmonary arterial hypertension (PAH) forms, follow these steps:
02
Start by gathering all the necessary information, including personal and medical details.
03
Open the relevant PAH form and carefully read through the instructions provided.
04
Begin filling out the form by entering your personal information, such as name, age, address, and contact details.
05
Provide detailed medical history, including any previous diagnosis, treatments, and medications related to PAH.
06
Answer all the questions on the form accurately and honestly to ensure proper assessment and treatment.
07
If there are any sections or questions that you are unsure about, consult your healthcare provider for guidance.
08
Review the completed form for any errors or missing information before submitting it.
09
Submit the filled-out form to the appropriate healthcare provider or organization as instructed.
10
Keep a copy of the completed form for your records.
11
Remember, it is essential to consult with a healthcare professional for specific instructions and guidance when filling out PAH forms.
Who needs pulmonary arterial hypertension pah?
01
Pulmonary arterial hypertension (PAH) is a condition that affects individuals who have increased blood pressure in the arteries of their lungs. PAH commonly occurs in people with certain underlying medical conditions, such as:
02
- Connective tissue diseases (e.g., scleroderma, lupus)
03
- Congenital heart diseases
04
- Liver diseases (e.g., cirrhosis)
05
- HIV infection
06
- Chronic lung diseases (e.g., chronic obstructive pulmonary disease)
07
- Family history of PAH
08
However, it is important to note that PAH can affect anyone, regardless of their medical history. If you suspect you may have PAH or are experiencing symptoms such as shortness of breath, fatigue, chest pain, and dizziness, it is crucial to consult with a healthcare professional for proper diagnosis and treatment.
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