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Cardiac Rehabilitation Program, Cooper man Barnabas Medical Center 375 Mt. Pleasant Ave., Suite 301 West Orange, NJ 07052 Phone # 9733226949 Fax # 9733226979 CARDIAC REHABILITATION PHYSICIAN REFERRAL
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How to fill out cardiac rehabilitation physician referral

How to fill out cardiac rehabilitation physician referral
01
Obtain a referral form from your doctor or healthcare provider.
02
Fill out all the required information, including patient demographics, medical history, and reason for referral.
03
Make sure to include any relevant test results or diagnostic imaging reports.
04
Obtain any necessary signatures from both the patient and referring physician.
05
Submit the completed referral form to the cardiac rehabilitation program coordinator.
Who needs cardiac rehabilitation physician referral?
01
Individuals who have recently experienced a heart attack or undergone cardiac surgery.
02
Patients with stable angina or heart failure may also benefit from cardiac rehabilitation.
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What is cardiac rehabilitation physician referral?
Cardiac rehabilitation physician referral is a recommendation from a doctor for a patient to participate in a program designed to improve their heart health and overall well-being after a cardiac event or procedure.
Who is required to file cardiac rehabilitation physician referral?
Cardiac rehabilitation physician referral is typically issued by a cardiologist, cardiac surgeon, or primary care physician who is treating the patient for a heart condition.
How to fill out cardiac rehabilitation physician referral?
To fill out a cardiac rehabilitation physician referral, the referring physician must provide the patient's medical history, current condition, reason for referral, and any relevant test results.
What is the purpose of cardiac rehabilitation physician referral?
The purpose of cardiac rehabilitation physician referral is to help patients recover from a cardiac event or procedure, improve their cardiovascular fitness, and reduce their risk of future heart problems.
What information must be reported on cardiac rehabilitation physician referral?
The cardiac rehabilitation physician referral should include the patient's name, date of birth, medical history, current medications, reason for referral, and any pertinent test results or imaging studies.
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