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C A R D I O LO GY S T R E S S T E S T REQUEST FORM Cardiology department, direct line: (020) 7460 5756/5755 Cardiology department, direct fax: (020) 7835 2431PLEASE BRING THIS FORM WITH YOU WHEN YOU
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How to fill out cardiology stress test request

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How to fill out cardiology stress test request

01
Obtain the cardiology stress test request form from the clinic or hospital.
02
Fill out the patient's personal information such as name, date of birth, and contact information.
03
Provide details about the reason for the test and any relevant medical history.
04
Indicate if the patient has any known allergies or contraindications to exercise.
05
Include information about any medications the patient is currently taking.
06
If necessary, specify any specific instructions for the patient before the test, such as fasting or avoiding certain medications.
07
Sign and date the form.
08
Submit the completed cardiology stress test request form to the designated department or healthcare provider.

Who needs cardiology stress test request?

01
Cardiology stress test requests are typically needed for patients who are showing symptoms of cardiovascular disease or heart-related conditions.
02
This may include individuals who have chest pain, shortness of breath, palpitations, or other symptoms that suggest a potential heart problem.
03
The test may also be requested for patients with risk factors for heart disease, such as older age, high blood pressure, diabetes, or a family history of heart disease.
04
Ultimately, the decision to perform a cardiology stress test is made by a healthcare provider who evaluates the patient's symptoms, medical history, and risk factors.
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Cardiology stress test request is a medical procedure used to measure how well your heart responds to stress.
A cardiologist or a healthcare provider may request a cardiology stress test to evaluate a patient's heart function.
To fill out a cardiology stress test request, the healthcare provider will need to provide patient information, reason for the test, and any relevant medical history.
The purpose of a cardiology stress test request is to assess the heart's ability to handle increased stress and to diagnose heart conditions.
The information reported on a cardiology stress test request may include patient demographics, medical history, reason for the test, and any relevant test results.
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