Referral Form
For referral to our 12-week cardiac rehabilitation and medically-supervised exercise program.
Please fax completed referrals to (403) 571-6971.
Eligibility Criteria
Cardiac Rehab Program
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Acute Coronary Syndrome (STEMI, NSTEMI, unstable angina, stable angina)
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Treated with percutaneous coronary intervention (PCI) or medical management
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Coronary artery bypass grating (CABG), valve surgery, heart failure
Special Populations - Medically Supervised Exercise
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Medically managed peripheral artery disease (non-limb threatening ischemia)
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Ventricular assist device
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Postural Orthostatic Tachycardia Syndrome (POTS)
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Prehabilitation (stable patients wait-listed for CABG)