Referral Form
For referral to our 12-week cardiac rehabilitation and exercise program.
Please fax completed referrals to (403) 571-6971.
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 grating (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)