Resources for Referring Doctors.
Referral forms, algorithms, and practical tools to streamline cardiac referrals to Heartwise Cardiology.
Referral Forms
Standard Cardiac Referral Form
Structured referral form for elective outpatient cardiac consultations — includes history, medication list, and diagnostic history fields.
Urgent ACS & Emergency Cath Referral
Priority referral document for acute coronary syndrome, decompensated heart failure, or critical structural heart evaluation.
Pre-Operative Cardiac Clearance Request
Comprehensive form for requesting preoperative cardiac evaluation prior to major non-cardiac surgery with ASA risk stratification.
Clinical Guidelines & Algorithms
When to Refer for Coronary Angiography
Concise algorithm for general practitioners — indications for diagnostic angiography vs stress testing thresholds.
Heart Failure Referral Criteria (HFA-ESC)
Guideline-aligned criteria for referring patients with suspected or established heart failure for advanced medical & device therapy.
Valvular Heart Disease Assessment Pathway
Stepwise clinical pathway for grading murmur severity and identifying timing for TAVR / MitraClip valve intervention.
Patient Education Leaflets
What to Expect: Coronary Angiography
Patient-facing leaflet explaining radial access angiography, preparation, procedure steps, and recovery timeline.
Post-Angioplasty Care Guide
Illustrated patient guide covering dual antiplatelet therapy (DAPT) compliance, wound care, and follow-up schedule after stenting.
Living with Heart Failure Booklet
Comprehensive guide for patients on fluid restriction, daily weight tracking, symptom red flags, and salt management.
Need custom referral documentation for your clinic?
Contact our clinical coordination desk at +91 9769517636 to receive physical referral pads or printed patient booklets.