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Cardiac rehab referral form

Cardiac Rehab Referral Form - Methodist Hospital 2025

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The document is a referral form for the Cardiac Rehabilitation Program at The Methodist West Houston Hospital. It is designed for physicians to refer patients for initial or renewed cardiac rehabilitation sessions, requiring medical justification and supporting documents such as hospital discharge summaries and lab reports. The form includes sections for patient information, diagnosis, current medications, and special instructions for staff.

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What are the indications for cardiac rehab?

Candidates for cardiac rehabilitation include patients with cardiovascular diseases such as ischemic heart disease, heart failure, myocardial infarctions, or patients who have undergone cardiovascular interventions such as coronary angioplasty or coronary artery bypass grafting.

When is cardiac rehab recommended?

Its often recommended after a heart attack or heart surgery. Cardiac rehabilitation involves exercise training, emotional support and education about a heart-healthy lifestyle. Healthy lifestyle habits include eating a nutritious diet, managing weight and quitting smoking.

What patients would be eligible for a cardiac rehabilitation group?

Cardiac rehabilitation programs covers these comprehensive programs if youve had at least one of these conditions: A heart attack in the last 12 months. Coronary artery bypass surgery. Current stable angina (chest pain)

What are the 4 phases of cardiac rehab?

In this article, well break down the four stages of cardiac rehabilitationalso known as the acute, subacute, outpatient, and maintenance phases.

What happens at the first cardiac rehab appointment?

Before you begin a program, your healthcare team performs tests. They check your physical abilities, medical limitations and risk of heart complications. This helps create a cardiac rehab program thats safe and helpful for you. Your treatment team then works with you to design your cardiac rehab program.