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

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

Special Populations - Medically Supervised Exercise

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