Afib Clinic Victoria Bc - Fill and Sign Printable - US Legal Forms 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your personal information, including your name, date of birth (DOB), and contact details. Ensure accuracy for effective communication.
  3. Indicate your referral source by checking the appropriate box (e.g., Primary care, Cardiologist). This helps streamline your referral process.
  4. Provide a brief medical history regarding your Atrial Fibrillation diagnosis. Check 'YES' or 'NO' for new diagnosis and specify any symptoms experienced during AF.
  5. Select the purpose of your referral by checking one of the options provided. If applicable, attach a medication list for comprehensive assessment.
  6. Complete the section on stroke risk factors by checking all that apply. This is crucial for determining your treatment plan.
  7. Finally, ensure you sign the form at the bottom and provide any additional comments or necessary documentation before submitting.

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The procedure usually takes 3 to 6 hours. A cardiologist and a special team of nurses and technicians will do the ablation. During the procedure: You may have a local anesthetic (numbing medicine) applied to your skin where the team will make a small incision (usually in your groin).
Services Offered through our Afib Clinic You may receive care from a nurse, pharmacist, and advanced practice provider, along with an electrophysiologist. The team will review your medical history, evaluate your current condition and develop a plan of care that involves you and your primary care physician.
Procedures for Atrial Fibrillation Electrical Cardioversion shocks the heart back into normal rhythm. Catheter Ablation is done by an electrophysiologist (a cardiologist specializing in heart rhythms) in the electrophysiology (EP) lab. Surgery Procedures are done by a cardiothoracic surgeon.

People also ask

After being diagnosed with AFib, the ideal goals may include: Restoring the heart to a normal rhythm (called rhythm control) Reducing an overly high heart rate (called rate control) Preventing blood clots.
Heart rate medicines. The most common way to treat atrial fibrillation is with drugs that control your heartbeat. These slow your rapid heart rate so your heart can pump better. You may need other drugs. Some are called beta-blockers.

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