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Outpatient Cardiac Rehabilitation Physician Referral Form Patient Name:DOB:Phone:State:Zip:Address: City:Diagnosis/Indication (Please indicate appropriate diagnosis) CHF if: EF 35% with symptoms (Please
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What is ascension st marys hospital?
Ascension St. Mary's Hospital is a medical facility located in Michigan that provides healthcare services to the community.
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All healthcare facilities and providers associated with Ascension St. Mary's Hospital are required to file necessary reports and documentation.
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To fill out Ascension St. Mary's Hospital forms, healthcare providers must provide accurate and detailed information about patients, treatments, and services provided.
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The purpose of Ascension St. Mary's Hospital is to provide quality healthcare services to patients in need and promote overall wellness in the community.
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Information such as patient demographics, medical history, treatments received, and billing details must be reported on Ascension St. Mary's Hospital forms.
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