Referral Form and Information

To refer a patient to our 12-week cardiac rehabilitation program, please  complete the referral form and  fax completed referrals to 403-776-7682.

Referral Form

Eligibility Criteria:

Cardiac Rehabilitation Program

  • Acute Coronary Syndrome (STEMI, NSTEMI, unstable angina, stable angina)
  • Treated with percutaneous coronary intervention (PCI) or medical management
  • Coronary artery bypass grafting (CABG), valve surgery, heart failure

Special Populations

  • Medically-managed peripheral artery disease (non-limb threatening ischemia)
  • Ventricular assist device
  • Postural Orthostatic Tachycardia Syndrome (POTS)
  • Prehabilitation (stable patients wait-listed for CABG)