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Cardiac Diagnostic Requisition 1796 Summer Street, Halifax, NS, B3H 3A7 325 Pleasant Street, Dartmouth, NS B2Y 4G8 Dartmouth General Fax: (902) 4658489 Phone: (902) 4658302QEII and Coequal ECG, Loop,
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How to fill out cardiac diagnostic requisition

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How to fill out cardiac diagnostic requisition

01
Obtain the cardiac diagnostic requisition form from the healthcare provider or the hospital.
02
Fill out the patient's personal information such as name, date of birth, gender, and contact information.
03
Provide the necessary medical history of the patient, including any previous heart conditions or surgeries.
04
Specify the type of cardiac diagnostic tests required, such as electrocardiogram (ECG/EKG), stress test, echocardiogram, etc.
05
Indicate the reason for the diagnostic tests and any specific concerns or symptoms that need to be addressed.
06
If the test requires fasting or any other specific instructions, make sure to mention it on the requisition form.
07
Sign and date the requisition form to authorize the requested cardiac diagnostic tests.
08
Submit the completed form to the designated department or laboratory as instructed by the healthcare provider.

Who needs cardiac diagnostic requisition?

01
Individuals who experience symptoms related to heart problems, such as chest pain, shortness of breath, irregular heartbeat, or fatigue.
02
Patients with known heart conditions who require regular monitoring or follow-up tests.
03
People at high risk for heart disease, including individuals with a family history of cardiac issues, hypertension, diabetes, or obesity.
04
Those preparing for certain medical procedures or surgeries that may require cardiac evaluations.
05
Individuals who have experienced recent heart-related incidents such as a heart attack or stroke.
06
Patients who are on specific medications that may require monitoring of cardiac function.
07
Individuals involved in cardiac research studies or clinical trials.
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A cardiac diagnostic requisition is a formal request for specific cardiac tests or procedures to evaluate heart health and diagnose potential cardiac conditions.
Healthcare providers, such as physicians or cardiologists, are required to file cardiac diagnostic requisitions on behalf of their patients when cardiac evaluations are necessary.
To fill out a cardiac diagnostic requisition, a healthcare provider must provide patient information, specify the required tests, include relevant medical history, and sign the form before submission.
The purpose of cardiac diagnostic requisition is to facilitate the assessment and diagnosis of heart conditions, ensuring that appropriate tests are requested and carried out.
Essential information includes patient demographics, physician information, requested tests, clinical indications, and any relevant medical history.
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