Get Cardiac Clearance Passdoc

The CARDIAC CLEARANCE Passdoc is an essential document for patients with a cardiac history preparing for surgery. This guide provides clear, step-by-step instructions to help users complete the form accurately and efficiently online.

Follow the steps to fill out the CARDIAC CLEARANCE Passdoc online

1. Press the ‘Get Form’ button to access the CARDIAC CLEARANCE Passdoc and open it in your preferred online editing tool.
2. In the 'Patient Name' field, enter the full name of the person who will be undergoing surgery.
3. Input the date of birth (DOB) of the patient in the designated field.
4. Indicate the date of the surgical procedure by filling out the 'Date of Surgery' section.
5. Specify the name of the surgeon in the appropriate field—this will be Dr. Matt El-Kadi.
6. Document the diagnosis requiring the surgery in the 'Diagnosis' field.
7. Detail the specific procedure to be performed in the 'Procedure' section.
8. Provide a summary of the patient's cardiac diagnosis and history, ensuring to be thorough in the 'Cardiac Diagnosis & History' section.
9. List all current medications the patient is taking in the 'Current Medications' field.
10. Record any recommendations for the patient in the 'Recommendations' section.
11. Make any additional comments relevant to the patient's cardiac clearance in the 'Additional Comments' area.
12. Ensure the form is signed by the doctor in the 'Doctor’s Signature' section, followed by the date of signing and the doctor's phone and fax number.
13. Once all fields are accurately completed, review the document for any errors, then save changes, download, print, or share the completed form as required.

Complete your CARDIAC CLEARANCE Passdoc online today!