Cardio Connect Pre-Exercise Screening Tool
Cardio Connect
Dr. A. Fahoum, MD
Suite 103-51 Inglewood DrSt Albert, AlbertaT8N 4E7
- info@cardioconnect.ca
- 780-418-8884
- 780-784-1367 (fax)
Cardio Connect Pre-Exercise Screening Tool
This is the electronic version of the Cardio Connect Pre-Exercise Screening Tool. You can use this tool to determine whether or not your patient is healthy enough for exercise, healthy enough to undergo a Cardiac Exercise Stress Test or healthy enough to benefit from an Exercise Prescription from Cardio Connect.
This form can also be used as a referral—just fill in the required fields and hit “Send” to refer your patient to Cardio Connect.
If you would prefer to download and fax a referral form, please click here.