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Referral to:Hypertrophic Cardiomyopathy Clinic LHC University Hospital 339 Winder mere Road, London, ON, N6A 5A5 Telephone: 5196633032 Fax: 5196633114 INPATIENTPATIENT NAME:LHC PIN # (if known):OUTPATIENT:
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How to fill out hypertrophic cardiomyopathy clinic st
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01
Gather all necessary medical information and records related to the patient's hypertrophic cardiomyopathy diagnosis.
02
Complete the patient demographics section with the patient's name, date of birth, address, and contact information.
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Provide a detailed medical history, including any previous heart conditions, surgeries, and treatments.
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Document the patient's current symptoms and any medications they are currently taking.
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Include any recent test results, such as echocardiograms or EKGs, to help with diagnosis and treatment planning.
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Who needs hypertrophic cardiomyopathy clinic st?
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Patients diagnosed with hypertrophic cardiomyopathy who are seeking specialized care and treatment.
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Healthcare providers looking to refer their patients with hypertrophic cardiomyopathy to a specialized clinic for further evaluation and management.
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What is hypertrophic cardiomyopathy clinic st?
Hypertrophic cardiomyopathy clinic st is a form used for reporting information about patients with hypertrophic cardiomyopathy.
Who is required to file hypertrophic cardiomyopathy clinic st?
Healthcare providers and facilities involved in the care of patients with hypertrophic cardiomyopathy are required to file the form.
How to fill out hypertrophic cardiomyopathy clinic st?
You can fill out the form by providing the requested information about the patient, medical history, treatment received, and any relevant test results.
What is the purpose of hypertrophic cardiomyopathy clinic st?
The purpose of the form is to collect data on patients with hypertrophic cardiomyopathy for research and quality improvement purposes.
What information must be reported on hypertrophic cardiomyopathy clinic st?
Information such as patient demographics, medical history, treatment plan, and outcomes must be reported on the form.
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