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{"status": "completed", "conte {"status": "completed", "content": "Referring Physician\nDate:\nPhysician Name:\nPhysician Address:\nPhysician ID:\nPhysician Signature:\nPatient Information\nPhysician Email:\nUrgency\n24 hrs 48 hrs 72 hrs 1 Week\n#250-8500 Blackfoot Trail SE\nCalgary, AB T2J 7E1\nTel: 403-879-7911\nwww.chestpainclinic.ca\nChest Pain Rating\n1 2 3 4 5 6 7 8 9 10\nMedical History \nCheck All That Apply\n Abnormal ECG\nAtrial Fibrillation\nAbnormal Coronary CT\nHistory of Myocardial Infarction\nHistory of Heart Failure\nPalpitation\nAdditional Information / Report Attached\n ECG Lab Stress Test Echo MPI\nCT MRI Holter 24ABP\nFax: 403-879-7899\n Angina Typical Atypical\n History of COPD\nAbnormal Stress Test\nShortness of Breath\nHistory of CABG \nHistory of Valvular Surgery\nObstructive Sleep Apnea\nX-Ray\n Diabetes\nHypertension\nHyperlipidemia\nK\nnown CAD\nSmoker Current Past\n Family History of Heart Disease Peripheral Artery Disease\nCONFIDENTIALITY STATEMENT: Information contained in this communication may be confidential and is intended only for the use of the recipient(s). If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, \ndistribution, or copying of this communication or any of its content is strictly prohibited. If you receive this communication or any of its contents in error please return it to the sender and contact Advanced Cardiology 403.235.4109\nPatient Name:\nPatient PHN Number:\nPatient Address:\nDate of Birth:\nPatient Phone:\nMale Female\n1998-12-11\n578788878"}... |
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