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Requesting a Referral

Research has shown that those who participate in a Cardiac Rehabilitation program have a greater survival rate than those who do not. Alarmingly, only 12 percent of cardiac patients choose to enroll in this potentially life-saving program.

Sturdy Memorial Hospitalís Cardiac Rehabilitation program works to help increase your chances of survival by improving, and eventually maintaining, a good level of cardiovascular fitness, which will help you return to a normal and productive life.

To get started, you need to ask your doctor to refer you for Cardiac Rehabilitation. Your Family Medicine doctor, Internal Medicine doctor, your Cardiologist can order it for you. Click on the link below to download the form.

If you are interested in our program, please take this form to your next follow-up visit with your doctor. If you have had a recent heart problem and would like more assistance, please call and we can help. Additionally, if you have any questions or would like a complimentary tour of the facility, please feel free to call us. We look forward to hearing from you.

Cardiac Rehabilitation Referral Form