Cardiac Rehab

Referral Criteria

The service is to support and provide care for patients after a “recent” cardiac event – Myocardial Infarction, Angioplasty/Primary Angioplasty, Cardiac surgery (Coronary bypass, valve repair/replacement) and support/care Pre cardiac – surgical patients.

Cardiac Rehab

Patient details
If contact details are incorrectly input where mandatory the referral cannot be processed
Overseas visitor?
Is the patient's main language English?
If no, what is the patient's main spoken language?
Does the patient require an interpreter?
Can the patient communicate easily?
Patient has consented to information sharing?
GP details
If contact details are incomplete the referral cannot be processed
Optional attachment
Referrer details
If contact details are incomplete the referral cannot be processed
Referral
Where is the patient on referral?*
Can the patient open their door?
Referral made to:
If you do not receive an email acknowledgement your referral has not been submitted. Please check that all details are correct, mandatory fields completed and re-submit.
Submit