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Name: DOB: SHIP#: Telephone # (home): Telephone # (work/other): Address:Stroke Prevention Clinic Consultation Form Cornwall Community Hospital McConnell site 840 McConnell Ave, Cornwall ON K6H 5S5 Phone:

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How to fill out stroke prevention clinic consultation

01

Gather all necessary medical records and information related to your medical history.

02

Schedule an appointment with the stroke prevention clinic.

03

During the consultation, be prepared to discuss your medical history, lifestyle factors, and any previous risk factors for stroke.

04

Be honest and open with your healthcare provider about any symptoms or concerns you may have.

05

Follow any recommendations given by the healthcare provider for lifestyle changes or medications to help prevent stroke.

Who needs stroke prevention clinic consultation?

01

Individuals who have had a previous stroke or transient ischemic attack (TIA).

02

Individuals with risk factors for stroke such as high blood pressure, diabetes, and high cholesterol.

03

Individuals with a family history of stroke.

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What is stroke prevention clinic consultation?

Stroke prevention clinic consultation is a specialized medical service aimed at assessing and managing individuals at risk of stroke.

Who is required to file stroke prevention clinic consultation?

Patients who are at risk of stroke or have a history of stroke are typically required to undergo stroke prevention clinic consultation.

How to fill out stroke prevention clinic consultation?

To fill out stroke prevention clinic consultation, patients need to provide their medical history, current medications, and undergo various diagnostic tests.

What is the purpose of stroke prevention clinic consultation?

The purpose of stroke prevention clinic consultation is to identify risk factors for stroke, develop a personalized prevention plan, and monitor progress over time.

What information must be reported on stroke prevention clinic consultation?

Information such as medical history, medications, imaging results, lab tests, and lifestyle factors must be reported on stroke prevention clinic consultation.

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