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Get the free RVH Stroke Prevention Clinic Referral Form

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Comments: Revised January 31, 2012. STROKE PREVENTION CLINIC. REFERRAL FORM. Phone: (705) 7289090 ext 46315. Fax: (705) 7283039.
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How to fill out RVH Stroke Prevention Clinic:

01
Begin by obtaining the necessary forms. These can typically be found on the clinic's website or by contacting RVH directly. Fill out the personal information section, providing details such as your name, address, contact information, and emergency contact.
02
Next, provide your medical history. This includes information about any previous strokes, heart attacks, or other relevant health conditions. It is important to be thorough and accurate while filling out this section.
03
Indicate any medications you are currently taking. List the names, dosages, and frequencies of these medications. If you are unsure about any particular medication, it is advisable to consult with your healthcare provider to ensure accurate information is provided.
04
Fill out the section on allergies. Specify any known allergies to medications, foods, or other substances. This information is crucial for ensuring your safety during any potential treatment or intervention.
05
Provide your healthcare provider's contact information. This includes the name, phone number, and address of your primary care physician, as well as any specialists you may be seeing for your condition. It is essential for the RVH Stroke Prevention Clinic to have this information for communication and coordination of care.
06
Answer any additional questions or requests for information. The RVH Stroke Prevention Clinic may require specific details related to your condition, lifestyle, or preferences. This could include questions about smoking habits, alcohol consumption, dietary habits, or exercise routines.

Who needs RVH Stroke Prevention Clinic:

01
Individuals who have previously experienced a stroke or transient ischemic attack (TIA), also known as a mini-stroke. These individuals require ongoing monitoring, treatment, and education to prevent future strokes and manage their condition.
02
People with risk factors for stroke such as high blood pressure, high cholesterol, diabetes, obesity, smoking, or a family history of stroke. The RVH Stroke Prevention Clinic can provide comprehensive assessment, education, and interventions to mitigate these risk factors and reduce the likelihood of a stroke occurring.
03
Patients who have been referred by their primary care physicians or other healthcare professionals due to concerns about their risk of stroke or the need for specialized stroke prevention care. The RVH Stroke Prevention Clinic offers expertise in stroke prevention and management, ensuring patients receive optimal care and support.
Overall, filling out the RVH Stroke Prevention Clinic forms accurately and thoroughly is crucial to ensure that the healthcare professionals have the necessary information to provide appropriate care and support. This clinic is designed to cater to individuals who have experienced a stroke, as well as those with risk factors or specific referrals, allowing them to receive specialized care that promotes stroke prevention and overall well-being.

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The RVH Stroke Prevention Clinic is a specialized medical facility that focuses on preventing strokes and providing care for patients at risk of experiencing a stroke.
Patients who have been referred to the clinic by their healthcare provider are required to file RVH Stroke Prevention Clinic forms.
Patients must complete the necessary forms provided by the clinic, providing accurate information about their medical history and current health status.
The purpose of RVH Stroke Prevention Clinic is to identify and address risk factors for strokes in patients, and to provide appropriate treatment and care to prevent strokes from occurring.
Information such as medical history, current medications, family history of strokes, lifestyle factors, and any symptoms of stroke must be reported on RVH Stroke Prevention Clinic forms.
The deadline to file RVH Stroke Prevention Clinic forms in 2023 is December 31st.
Patients who file their RVH Stroke Prevention Clinic forms after the deadline may face delays in receiving care and treatment, which could potentially lead to an increased risk of experiencing a stroke.
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