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  • Cardiac Clearance Letter

Get Cardiac Clearance Letter

Kaustubh V. Patankar M.D., FACC Mimi Sen Biswas M.D., MHSc Ramin B. Ashtiani M.D. 3975 Jackson St, Suite 309, Riverside, CA 92503 (951) 3523937 fax (951) 3522839 th 4000 14 St, Suite 506, Riverside,.

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How to fill out the Cardiac Clearance Letter online

Filling out the Cardiac Clearance Letter online is a vital step in ensuring that a patient receives the necessary evaluation for cardiac clearance before surgery. This guide provides a straightforward approach for users to navigate the process efficiently and effectively.

Follow the steps to complete your Cardiac Clearance Letter.

  1. Click 'Get Form' button to obtain the form and open it in the editor.
  2. Begin by entering the patient's name in the designated field. Ensure the name is spelled correctly to avoid any discrepancies in medical records.
  3. Next, fill in the date of birth of the patient. This information is crucial for identifying the individual and confirming eligibility for the required medical clearance.
  4. Indicate the date of surgery. This helps in scheduling the necessary evaluations and ensuring proper timing for the cardiac clearance process.
  5. Specify the type of surgery being performed. This information is important for the medical professionals assessing the patient's cardiac health and readiness for the procedure.
  6. Document the length of surgery anticipated. Providing accurate estimates can aid in determining potential risks associated with anesthesia and recovery.
  7. Select the type of anesthesia by circling either 'LA' for Local Anesthesia or 'GA' for General Anesthesia. This selection impacts the monitoring and clearance process.
  8. Estimate the potential blood loss during the procedure. Accurate estimates help in preparing for the surgical process and anticipating any needed interventions.
  9. Answer the query regarding whether anti-coagulation medicine should be stopped by circling 'Yes' or 'No'. This decision is critical for patient safety and surgical planning.
  10. Finally, ensure that the form is signed by the appropriate medical professional and record the date. This signature validates the information provided and completes the clearance process.
  11. Upon filling out all necessary sections, save the changes made to the form. Proceed to download, print, or share the document as required.

Complete your Cardiac Clearance Letter online today for a smooth surgical process.

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Cardiologists are often consulted to render preoperative clearance to ensure the proposed surgery is safe in light of a given patient's comorbidities. Like any evaluation, it is essential that the cardiologist carefully document the substance of the encounter.

History and Physical Exam and Labs are valid for 30 days. EKG's that are normal are valid for 90 days. These tests meet the minimum requirements for surgical clearance; further testing is at your discretion.

A pre-surgery imaging test such as an exercise or chemical stress test with imaging using sound waves (ultrasound or echocardiography) or a small dose of a radioactive substance (nuclear cardiology) or even a cardiac CT scan can show whether you're at risk of experiencing serious heart problems, such as a heart attack ...

In the context of surgery, a medical clearance is, essentially, considered to be an authorization from an evaluating doctor that a patient is cleared, or deemed healthy enough, for a proposed surgery.

A medical clearance often involves a physical examination, chest x-ray, blood and urine testing, and electrocardiogram (EKG). Additional assessments or tests may be necessary depending on a patient's existing comorbidities or those discovered.

There are some imaging tests that may be used in cardiac risk assessment. Non-invasive tests may include, for example, an electrocardiogram (ECG, EKG) or a stress test, also called ECG stress test or metabolic stress test.

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© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232