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UCLA Cardiovascular Disease Patient Tracking Form Patient Name Patient Age Pre-Existing CAD CVD PVD Patient Goal Diabetes Other Risk Interventions Initial Status Date Smoking smoker Complete Cessation non-smoker non-smoking non-smoking non-smoking non-smoking Blood Pressure 140/90 mmHg or 130/85 mmHg if mmHg CHF renal insuff diabetes Cholesterol Total Secondary LDL mg/dL 100 mg/dL HDL HDL 45 mg/dL TG 200 mg/dL TG Physical Activity Duration DUR. m...

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What is ucla cardiovascular tracking form?

The UCLA Cardiovascular Tracking Form is a form used by UCLA to track cardiovascular health information of its patients.

Who is required to file ucla cardiovascular tracking form?

All patients at UCLA who have cardiovascular health conditions are required to file the UCLA Cardiovascular Tracking Form.

How to fill out ucla cardiovascular tracking form?

To fill out the UCLA Cardiovascular Tracking Form, patients need to provide their personal information, medical history, current medications, and any cardiovascular symptoms they are experiencing.

What is the purpose of ucla cardiovascular tracking form?

The purpose of the UCLA Cardiovascular Tracking Form is to collect and monitor cardiovascular health information of patients at UCLA in order to provide better healthcare services and track the effectiveness of treatments.

What information must be reported on ucla cardiovascular tracking form?

The UCLA Cardiovascular Tracking Form requires patients to report their personal information, medical history, current medications, cardiovascular symptoms, and any relevant test results.

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