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This document is an order form used for cardiovascular testing and cardiology consultations. It includes sections for patient information, insurance details, reasons for testing, requested evaluations,
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How to fill out Southwest Cardiology, Inc. Test/Consult Order Form

01
Start by entering the patient's demographic information, including name, date of birth, and insurance information.
02
Specify the referring physician’s name and contact information.
03
Indicate the tests or consultations required by checking the appropriate boxes on the form.
04
Fill in the relevant clinical history or reasons for the tests in the comments section.
05
Ensure that all required signatures are obtained before submitting the form.
06
Review the form for completeness and accuracy before sending it to the appropriate department.

Who needs Southwest Cardiology, Inc. Test/Consult Order Form?

01
Patients who require cardiovascular testing or consultation.
02
Referring physicians needing to order cardiology tests for their patients.
03
Healthcare providers coordinating patient care involving cardiology.
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“The hallmark symptom of heart disease is when you have chest pain while you're active in some way. Then suddenly it's better when you're sitting and rested,” highlights Dr. Ojutalayo. “That experience indicates you need to talk to your primary care provider (PCP) or see a cardiologist right away.”
Symptoms of coronary artery disease can include: Chest pain, chest tightness, chest pressure and chest discomfort, called angina. Shortness of breath. Pain in the neck, jaw, throat, upper belly or back.
Palpitations with any of the following: o Shortness of breath o Chest pain o Heart failure o Syncope, pre-syncope or loss of consciousness o Persisting tachyarrhythmia on electrocardiogram (ECG).
Your first cardiologist appointment will usually last up to an hour.
Physical exam They'll listen to your heart and lungs by placing a stethoscope on your chest and back. They'll examine and press on the blood vessels in your neck, arms and legs. And they'll look at your ankles and feet for any swelling.
10 Signs It's Time to See a Cardiologist You experience chest pain. You have high blood pressure. You have shortness of breath, palpitations or dizziness. You have diabetes. You have a history of smoking. You have a history of high cholesterol. You have chronic kidney disease. You have a family history of heart disease.
Not necessarily. “It's very common,” says Abed Asfour, M.D., director of interventional cardiology at Beaumont Hospital, Trenton. “Most of our patients are referrals.” Generally speaking, heart specialists will start you out with a physical exam, including blood work to measure cholesterol and blood-sugar levels.

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The Southwest Cardiology, Inc. Test/Consult Order Form is a document used to request specific cardiology tests or consultations for patients.
Medical professionals, such as physicians or specialists, are required to file the Southwest Cardiology, Inc. Test/Consult Order Form for their patients.
To fill out the form, provide the patient's personal and medical information, select the required tests or consultations, and sign the document to authorize the request.
The purpose of the form is to streamline the process of ordering cardiology tests or consultations and to ensure all necessary information is collected for accurate patient care.
The form must include patient demographics, physician details, specific tests or consultations requested, medical history, and any relevant clinical information.
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