Get the free CARDIAC SURGERY REFFERAL FORM Hamilton Health Sciences
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CARDIAC SURGERY REFFERAL FORM Office: (905) 5212100 ext. 46220 Fax: (905) 5271558 Email: cvsurgery@hhsc.ca Emergency (INPT) Urgent (2 weeks) Semiurgent (24 weeks) Elective (46 weeks) Patient Name:DOB:
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What is cardiac surgery referral form?
A cardiac surgery referral form is a document used by healthcare providers to request the evaluation and potential surgical intervention for patients with heart conditions.
Who is required to file cardiac surgery referral form?
Typically, a primary care physician or a cardiologist is required to file a cardiac surgery referral form when they determine that a patient may need surgical treatment for heart disease.
How to fill out cardiac surgery referral form?
To fill out a cardiac surgery referral form, the referring physician should provide patient's personal information, medical history, specific cardiac issues, relevant test results, and any other pertinent health data.
What is the purpose of cardiac surgery referral form?
The purpose of the cardiac surgery referral form is to communicate essential patient information to the surgical team, ensuring that they have the necessary details to assess the patient's suitability for surgery.
What information must be reported on cardiac surgery referral form?
Information that must be reported on a cardiac surgery referral form includes patient demographics, medical history, current medications, diagnostic test results, and the specific reason for the referral.
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